International Urology and Nephrology

, Volume 15, Issue 1, pp 43–49 | Cite as

Surgical treatment of urethral stricture: Still a problem?

  • R. Novak


In the introduction the author stresses that the main facts which decide the choice and prognosis of therapy are localization, length and the so-called complexity of the stricture. His 15-year material from 388 operations on 290 patients is presented.

Circular strictures of the anterior urethra (a total of 135 operations) are treated through endoscopic urethrotomy as the primary procedure and mostly by open resection as the secondary one. Longitudinal strictures of the anterior urethra (199 operations) are treated by marsupialization, pedicled cutaneous flap and Michalowski's “sleeve” technique as primary procedures. As the secondary procedure (after failure of the first operation) marsupialization only was performed. Complex strictures of the posterior urethra (total 54) were treated mostly by transpubic approach, which showed good results in 74% cases on 41 operations.


Public Health Primary Procedure Open Resection Urethral Stricture Secondary Procedure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Haschek, H.: Aktuelle Therapie der Harnröhrenstriktur beim Mann. Int. Symposium, Wien 1979.Google Scholar
  2. 2.
    Badenoch, A. W.: Traumatic stricture of the urethra.Br. J. Urol., 40, 671 (1967).Google Scholar
  3. 3.
    Marberger, H.: Die operative Behandlung der Harnröhrenstriktur. Int. Symposium, Wien 1979.Google Scholar
  4. 4.
    Sachse, H.: Die Sichturethrotomie mit scharfem Schnitt. Int. Symposium, Wien 1979.Google Scholar
  5. 5.
    Orandi, A.: One-stage urethroplasty.J. Urol., 107, 977 (1972).PubMedGoogle Scholar
  6. 6.
    Blandy, J.: One-stage and two-stage urethroplasty. In: Libertino-Zimman (eds): Reconstructive Urologic Surgery. Williams and Wilkins Co., Baltimore 1977.Google Scholar
  7. 7.
    Leadbetter, G. W. Jr., Leadbetter, W. F.: Urethral strictures in male children.J. Urol., 87, 409 (1962).Google Scholar
  8. 8.
    Devine, P. C., Sakati, I. A., Poutasse, I. A., Devine, C. J. Jr.: One-stage urethroplasty.J. Urol., 99, 191 (1968).PubMedGoogle Scholar
  9. 9.
    Blandy, J. P.: Urethroplasty in males. In: Hendry (ed.): Recent Advances in Urology, 2nd ed., Churchill-Livingstone, Edinburgh 1976.Google Scholar
  10. 10.
    Turner-Warwick, R.: Complex traumatic posterior urethral strictures.J. Urol., 118, 564 (1977).PubMedGoogle Scholar
  11. 11.
    Novak, R.: Operative Therapie der Harnröhrenstriktur.Z. Urol. Nephrol., 6, 675 (1981).Google Scholar
  12. 12.
    Sachnoff, E. J., Kerr, W. S.: Direct vision cold knife urethrotomy.J. Urol., 123, 482 (1980).Google Scholar
  13. 13.
    Oberiter, B., Kraljić, I.: Our experiences with endoscopic urethrotomy. Congr. Yugoslav Ass. Urol., Ohrid 1980.Google Scholar
  14. 14.
    Johanson, B.: Reconstruction of the male urethra in stricture.Acta Chir. Scand. [Suppl.], 176 (1953).Google Scholar
  15. 15.
    Raatsch, H.: Die Behandlung der Harnröhrenstriktur des Mannes durch einzeitige Urethroplastik mit subkutan gestieltem Hautlappen.Z. Urol. Nephrol., 70, 195 (1977).PubMedGoogle Scholar
  16. 16.
    Michalowski, E.: Zur operativen Behandlung erworbener Harnröhrenstrikturen.Urologe [A],10, 101 (1971).PubMedGoogle Scholar
  17. 17.
    Novak, R., Radoš, N., Kraus, O.: Transpubische Rekonstruktion der hinteren Harnröhre.Aktuel. Urol., 8, 277 (1977).Google Scholar
  18. 18.
    Waterhouse, K., Launyani, G., Patie, U.: The surgical repair of membranous urethral strictures.J. Urol., 123, 500 (1980).PubMedGoogle Scholar

Copyright information

© Akadémiai Kiadó 1983

Authors and Affiliations

  • R. Novak
    • 1
  1. 1.Urological ClinicClinical Hospital “Dr. M. Stojanovič”ZagrebYugoslavia

Personalised recommendations