Urethral Structure Length ≥ 2 cm is Significantly Associated with Lower Urethroplasty Success Rate, Results of our Large Case Series

Cristina Falavolti*¹, Roberto Giulianelli², Ervin Shehu¹, Pouria Alijani¹, Riccardo Giovannone¹, Tommasangelo Petitti³, Stuart F Boyd⁴ and Maurizio Buscarini³

Received: September 29, 2018;   Published: October 09, 2018

DOI: 10.26717/BJSTR.2018.09.001854

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

Urethral stricture is a relatively common disease in men and remains a reconstructive difficulty for urologists. It is associated with an unequivocal negative impact on the quality of life. The etiology is variable and the incidence is increasing in recent years with more frequent application of endoscopic instruments and indwelling catheters. Some of the most common etiologies of stricture disease include lichen sclerosis (LS), trauma, iatrogenesis, and infection [1-2]. Urethroplasty is considered the gold standard treatment for definitive correction of the disease reaching a success rate of 90%. Most of these strictures are short enough to make end-to-end urethral opposition. Normally, grafts are used when the strictures are too long or when patient already underwent a previously failed reconstruction attempt. The buccal mucosa is the most commonly used graft source [3]. The aim of this study was to investigate the correlation between urethral stricture etiology and length with the success rate in a large double-center series using the same surgical technique.

Abstract | Materials and Methods| Results| Conclusion and Discussion| References|