Abstract

Aim: Urtethral stricture is a relatively common urological problem. This study aims to find out common causes and common sites of urethral stricture and to compare VIU, Primary urethroplasty and simple dilataion in their management.

Material & Methods: This was a Retrospective study that included all patients of stricture urethra admitted in Department of Surgery, J.A. Group of hospital associated with Gajra Raja Medical College, Gwalior from Sept.2008-Aug.2013. Data were collected from the patient's record which is available in Medical Record Department.

Results: A total of 89 patients were studied (86 males & 3 females). Etiologies found were pelvic trauma (41.57%), uretrhral catheterisation (19.10%), urinary infection (30.33%), TURP(5.67%) and idiopathic (3.37%). Bulbomembranous urethra was the commonest site (39.32%) followed by membranous (30.33%), bulbar(20.22%), penile(5.61%) and prostatic urethrae(4.49%). 43 patients were treated with VIU followed by CIC, 25 patients with simple dilatation only and 21 patients with primary urethroplasty. Success rate was high in VIU group (79.06%) followed by urethroplasty(61.40%) and dilatation groups (48%).

Conclusion: Urethral stricture disease is seen predominantly in young male population. Most common causes are pelvic trauma followed by UTI and urinary catheterisation. In this series bulbomembranous urethra was the most common location of the stricture. In our center VIU was opted as the most common intervention and it carried better outcome as compared to primary urethroplasty and dilatation groups. Despite that urethral stricture remains a difficult problem to treat and patients carry lifelong morbidities. Keywords: Urethral stricture, dilatation, VIU, CIC, Urethroplasty