Abstract

The treatment of choice for posterior urethral stricture is perineal urethral reconstruction. But some cases (like extremely short and partially obstructed) can be managed endoscopicalIy.

We evaluated the results of perineal urethral reconstruction in 13 patients with posterior urethral stricture. In 10 of these 13, etiological cause was recurrent urethral infection. The mean ages of patients was 23.6 years (6-43 yrs). Ürethral catheters were removed 21 days after the operations. The mean hospitalization time was 7 days (6- 1Odays). The mcan following time was 15.4 months (7-33 months).

In 2 of 13 patients, siricture was occured in early postoperative period (15.444). One of these patients was treated with internal urethrotomy and the other was treated with renastomosing of urethra. In the postoperative uroflowmetric analysis of remaining 11 patients, the mean maximum flow rate was 19.2ml/sec (16.0-24.7m1/sec). There was no incontinent patient after operation.

As a result, it was considereğihat, perineal urethral reconstruction is a successful method in the treatment of posterior urethral sitricture.