Author reply on: Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control.

Abstract

Sir, We have read the original article titled “relationship between development of urethral stricture after transurethral resection of the prostate and glycemic control.” by Kumsar et al.[1] with great interest. Incidence of post transurethral prostatectomy (TURP) stricture of urethra varies between 4% and 10%.[2] We would like to congratulate the authors for trying to find a new etiologic factor for post-TURP stricture. However, we would like to bring to the notice of authors that postoperative infection is most important factor in post-TURP stricture.[3] Study groups were not compared for postoperative infection and poor glycemic control being a risk factor for infection it can be an indirect cause leading to urethral stricture. Post TURP strictures occur at navicular fossa, penobulbar junction and proximal bulbar urethra which is most common site. Case distribution according to the site of stricture is not given. The site of stricture has a bearing on the time to presentation and time to internal urethrotomy so each group should be subdivided according to location of the stricture. The relationship between post-TURP strictures and preoperative glycemic control needs to be proven in a prospective study taking into account above mentioned factors with those studied by authors.