Publication:

A study of types of urethral stricture and their management

Background Surgical treatment of urethral stricture includes various techniques like endoscopic, excision and anastomosis and various reconstructive methods using grafts. The aim of the present study was to study the various types of urethral stricture and their management.

Methods Fifty cases of urethral stricture were studied over a period of two years in Katihar Medical College with emphasis on various aspects of urethral stricture.

Results Maximum 24% of the cases were in the age group of 31 to 40 years followed by age group 41 to 50 years (20%). All the patients in this study were males. Bulbomembranous urethra was the most common site in 34% of cases followed by bulbar urethra in 20% cases. Urethrography was the main method employed for diagnosis of stricture urethra in maximum cases. Various forms of surgical treatment were, meatotomy, meatoplasty, excision and anastomosis, urethroplasty with grafts such as buccal mucosa and lingual graft.

Conclusions Various types of complications are associated with urethral stricture and is quite troublesome disease for the patients. The surgeon should be familiar with the various techniques in the management of the urethral stricture disease and the treatment should be individualized, taking into account of the location, extent and length of the stricture.