Abstract

Objective: In this clinical study, the outcome of subjects operated for urethral stenosis was presented.

Materials and methods: Between February 1996 and September 2010, urethroplasty was performed for 55 patients with urethral stenosis aged 16-63 years. Anterior and posterior urethral stenosis was discovered in 21 and 34 cases, respectively. Length of stenosis varied between 1.5 cm and 14 cm. Anterior urethral stenosis was repaired with hairless penil skin fleps and oral mucosa. End to end anastomosis, oral mucosa, hairless penil skin fleps or combinations of these techniques were used for posterior uretral stenosis.

Results: The complications of the repair of anterior uretral were urethral fistula in one patient, uretral stenosis in one patient, and uretral diverticula in one patient. Three patients had stenosis after posterior urethral repair. The fistula in the patient operated for anterior uretral stenosis recovered spontaneously after 3 months. The patients with urethral stenosis and diverticula were re-repaired and followed-up without intervention, respectively. Urethroplasty was performed in one of 3 patients who had stenosis following the repair of posterior urethra and complete recovery was obtained, internal urethrotomy was performed in the second patient, and the third patient was out of follow-up. Postoperative mean maximum urine flow rate (Qmax) was 24 mL/sec (range 18-35 mL/sec). None of the patients had incontinence due to operation. One patient complained of impotance.

Conclusion: Urethral stenosis can be repaired with appropriate methods regardless of length of stenosis.