Outcome of Augmented Versus Anastomotic Urethroplasty Comparison in Bulbar Stricture Urethra of 2–3 cm Length
Abstract
Introduction: Stricture urethra, that is, fibrous narrowing of urethra is one of the challenging urethral conditions which occur
due to inflammation of urethra, trauma to urethra, or due to idiopathic cause. There are various methods of the treatment of
stricture urethra which depends on length, location, depth, and density. Because the bulbar urethra is relatively mobile, removal
of the narrowing of lesser size and re-join the ends over a catheter is called anastomotic urethroplasty. Longer, recurrent,
or complicated strictures need to be widened by cutting into the narrowed area and inserting a graft material is known as
augmentation urethroplasty.
Aim: This study aims to know outcome of augmented and anastomotic urethroplasty in strictures of 2–3 cm by retrospective
analysis.
Materials and Methods: This was a retrospective study performed in 64 patients of bulbar urethral strictures equal or <3 cm
admitted to the department of urology. It is compare of success rate, complications, and patient satisfaction in two types of
urethroplasties augmented versus anastomotic. Patient’s basic demographic parameters, diagnostic investigations for the
urethral strictures, pre-operative uroflowmetry, surgical procedures, post-operative complications, and follow-up uroflowmetry
and cystoscopy findings were analyzed and compared.
Results: Most of the patients in the age groups of 31–40 and trauma is the leading cause of stricture. Anastomotic group
patients stayed more in the hospital. Augmented urethroplasty had very superior success rates (100%) than to the anastomotic
urethroplasty (84.6%). Complications were also more in anastomotic urethroplasty.
Conclusion: In this study augmented, urethroplasty is superior to anastomotic urethroplasty with fewer post-operative
complications.
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