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Urethroplasty for anterior urethral strictures in a community-based urology practice

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Abstract

Introduction

The outcome of urethroplasty for the anterior urethral stricture is superior to internal urethrotomy. However, the excellent results are often reported by tertiary medical centres and most urologists in general urological practice do not offer urethroplasty. We review the results of our institution to ascertain whether equivalent results are achievable in a district hospital urology service.

Methods

Over a 22-month period, 26 urethroplasties were performed. Mean age was 44.2 years (range: 16–83 years) and median follow-up was 14.6 months (range: 0.6–40.2 months). Anastomotic repair was performed in five, substitution urethroplasty in 15 (nine flaps and six grafts) and␣staged urethroplasty in 6. Length of strictures ranged from less than 0.2 cm to greater than 10 cm.

Results

Stricture-free rate of 90.5% at 1 year was observed. Only two cases developed repeat stricture formation. Other minor complications included one epididymo-orchitis and one haematoma.

Conclusion

Good early outcome for urethroplasty for anterior urethral strictures is achievable in a district hospital practice. Keys to good outcome include having a dedicated team and a wide repertoire of urethral reconstructive techniques.

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Authors and Affiliations

  1. Urology Unit, Department of Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore, Republic of Singapore

    Yew-Lam Chong & Khai-Lee Toh

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  1. Yew-Lam Chong
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  2. Khai-Lee Toh
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Correspondence to Yew-Lam Chong.

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Chong, YL., Toh, KL. Urethroplasty for anterior urethral strictures in a community-based urology practice. Int Urol Nephrol 39, 505–509 (2007). https://doi.org/10.1007/s11255-006-9083-8

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  • DOI: https://doi.org/10.1007/s11255-006-9083-8

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