Abstract
IntroductionIncidence of urethral stricture recurrence ranges between 2% to 36.4% with 75% occurring within the first 6 months of surgery. Hence, they need to identify the predictors of recurrence following urethroplasty.MethodsThis is a retrospective study involving patients that had urethroplasty from January 2008 to December 2017. Patients' records were reviewed. Analyzed data were for patients with a minimum follow up of one year from the time of urethroplasty and included aetiology of urethral stricture, presence of suprapubic cystostomy, prior urethral dilatation, urine M/C/S, site of urethral stricture, length of urethral stricture, type of urethroplasty, level of training of the surgeon, type of urethral stent used and duration of stenting. Analysis was done using SPSS version 23. P-value of < 0.05 was considered significant.ResultsEighty seven urethroplasties were done, from January 2008 to December 2017. However, only records of 44 patients were accessible. Twenty patients completed duration of follow up ≥ one year. Urethral stricture recurrence was defined as resurgence of Lower Urinary Tract Symptoms (LUTS) within one year. Median age of the patients was 39.5 (± 19) years. Urethral stricture recurrence rate was 25% with mean time to recurrence from urethroplasty of 5.3 (±3) months. The use of preoperative suprapubic catheter (SPC) for urinary diversion as well as urethroplasties performed by the consultants had a lower incidence of recurrence.ConclusionThis study found urethral stricture recurrence of 25%. The level of training of surgeon vis-à-vis the expertise and experience seems to be an important factor, though not statistically significant in determining the outcome of urethroplasty.
Highlights
Urethral stricture is one of the oldest diseases known to man
It becomes imperative to carry out a retrospective study looking at the conglomeration of factors that may predict urethral stricture recurrence as this may assist in guiding the management of urethral stricture as well as ensure an optimal outcome
The mean time to recurrence from urethroplasty was 5.3 (±3) months
Summary
Urethral stricture is one of the oldest diseases known to man. The term urethral stricture refers to anterior urethral disease and is a scarring process that involves the epithelium and the corpus spongiosum [1]. Recurrence has been identified in several studies as one of the main complications following urethral stricture management, including urethroplasty. There are varied definitions of urethral stricture recurrence in the literature These include recurrent urinary symptoms and/or poor uroflowmetry
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