Non-transecting urethroplasty in patients with bulbar urethral strictures shorter than three centimeters

Abstract

Purpose

This study aimed to compare the success and postoperative complication rates of the novel non-transecting urethroplasty (NTU) technique and conventional excision-primary anastomosis (EPA) in the surgical treatment of short bulbar urethral strictures.

Material and methods

Data of the patients who underwent excision-primary anastomosis or NTU procedures at our center for the surgical treatment of bulbar urethral strictures shorter than 3 cm between January 2010 and December 2018 were retrospectively reviewed.

Results

Forty-seven patients fulfilled the eligibility criteria for this study. Among these patients, 22 underwent NTU procedure while 25 underwent EPA. There was no difference between the two groups regarding age, stricture length, etiology, past surgical history, and duration of follow-up. The surgical success rates were 88% and 87,2% in the NTU and EPA groups, respectively (p = 0,603). The complication rates were 12% and 13,6% in NTU and EPA groups, respectively. Two groups were similar concerning complication rates (p = 0,603).

Conclusion

The novel NTU and conventional EPA techniques are similar regarding surgical success and complication rates in the surgical treatment of bulbar urethral strictures shorter than three centimeters.

Keywords:

• Bulber urethral strictures
• non-transecting
• urethroplasty
• strictures

Disclosure statement

No potential conflict of interest was reported by the authors.

Figure 1. Dorsal stricturotomy.

Figure 2. Excision of the strictured segment.

Additional information

Funding

No financial support was reported by the authors.