Results of surgical treatment on short-length bulbous urethral strictures

Abstract

Introduction. Urethral stricture disease is one of the most actual problems of modern urology, and the number of this pathology in the population increases year to year. To date, a large number of surgical methods for treating urethral strictures have been proposed. This study represents our experience in the surgical treatment of short-length bulbous urethral strictures. Purpose of the study. To analyze the results of surgical treatment of patients with short-length bulbous urethral strictures. Materials and methods. A retrospective analysis of the surgical treatment results in 75 patients with short-length bulbous urethral strictures was carried out. Treatment was carried out using various techniques: internal optical urethrotomy (IOUT), anastomotic urethral plasty, urethral plasty without crossing the spongy body. The effectiveness of the applied methods is assessed. The standard questionnaire I-PSS (International Prostate Symptom Score) was used to assess the quality of life of patients in all cases, which was filled out before surgery and 6 months after surgery. Results. The easiest and fastest to perform is the IOUT technique, but it has a high percentage of relapses — up to 76,47% in a follow-up. However, the number of recurrences when performing open surgical techniques, such as urethral plastic surgery without crossing the spongy body, anastomotic urethral plastic surgery, did not exceed 7.14% and 7.4%, respectively. Before surgery average IPSS score in patients who were carried out of IUOT, anastomotic plastic and plastic without crossing a spongy body, respectively 20,65 ± 0,62, 21,52 ± 0,64 and of 23,07 ± 0,76 points, and 6 months after surgical treatment the average score was 8,24 ± 0,63, 4,37 ± 0,33, 5,64 ± 0,37 points. Conclusions. It was revealed that currently, the most prognostically favourable methods of surgical treatment of urethral stricture disease are anastomotic urethral plasty, urethral plasty without crossing the spongy body.