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Research ArticleOpen Access

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

Volume 9 - Issue 5

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

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    • 1Villa Betania Hospital, Italy
    • 2Villa Claudia Hospital, Italy
    • 3University Campus Biomedico, Italy
    • 4University of Southern California, USA

    *Corresponding author: Cristina Falavolti, Villa Betania Hospital, Via Pio IV 42 00165 Rome, Italy

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

DOI: 10.26717/BJSTR.2018.09.001854

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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.

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