Vestnik Urologii (Mar 2021)

Results of surgical treatment on short-length bulbous urethral strictures

  • N. A. Goncharov,
  • A. A. Kuznetsov,
  • E. A. Morozov,
  • A. A. Kiseleva

DOI
https://doi.org/10.21886/2308-6424-2021-9-1-32-38
Journal volume & issue
Vol. 9, no. 1
pp. 32 – 38

Abstract

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Introduction. Urethral stricture disease is one of the most actual problems of modern urology, and the number of this pathology in the population increases year to year. To date, a large number of surgical methods for treating urethral strictures have been proposed. This study represents our experience in the surgical treatment of short-length bulbous urethral strictures.Purpose of the study. To analyze the results of surgical treatment of patients with short-length bulbous urethral strictures.Materials and methods. A retrospective analysis of the surgical treatment results in 75 patients with short-length bulbous urethral strictures was carried out. Treatment was carried out using various techniques: internal optical urethrotomy (IOUT), anastomotic urethral plasty, urethral plasty without crossing the spongy body. The effectiveness of the applied methods is assessed. The standard questionnaire I-PSS (International Prostate Symptom Score) was used to assess the quality of life of patients in all cases, which was filled out before surgery and 6 months after surgery.Results. The easiest and fastest to perform is the IOUT technique, but it has a high percentage of relapses — up to 76,47% in a follow-up. However, the number of recurrences when performing open surgical techniques, such as urethral plastic surgery without crossing the spongy body, anastomotic urethral plastic surgery, did not exceed 7.14% and 7.4%, respectively. Before surgery average IPSS score in patients who were carried out of IUOT, anastomotic plastic and plastic without crossing a spongy body, respectively 20,65 ± 0,62, 21,52 ± 0,64 and of 23,07 ± 0,76 points, and 6 months after surgical treatment the average score was 8,24 ± 0,63, 4,37 ± 0,33, 5,64 ± 0,37 points.Conclusions. It was revealed that currently, the most prognostically favourable methods of surgical treatment of urethral stricture disease are anastomotic urethral plasty, urethral plasty without crossing the spongy body.

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