Causes and management for male urethral stricture
10.11817/j.issn.1672-7347.2018.05.010
- VernacularTitle:男性尿道狭窄病因与治疗方式
- Author:
Caifang CHEN
1
;
Mingqiang ZENG
;
Ruizhi XUE
;
Guilin WANG
;
Zhiyong GAO
;
Wuxiong YUAN
;
Zhengyan TANG
Author Information
1. 中南大学湘雅医院老年医学科
- Keywords:
urethral stricture;
treatment;
etiology;
male
- From:
Journal of Central South University(Medical Sciences)
2018;43(5):520-527
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the etiology of male urethral stricture,analyze the therapeutic strategies of urethral stricture,and summarize the complicated cases.Methods:The data of 183 patients with urethral stricture were retrospectively analyzed,including etiology,obstruction site,stricture length,therapeutic strategy,and related complications.Results:The mean age was 49.7 years,the average course was 64.7 months,and the constituent ratio of51 to 65 years old patients was 38.8% (71/183).The traumatic injury of patients accounted for 52.4% (96/183),in which the pelvic fracture accounted for 35.5% (65/183) and the straddle injury accounted for 16.9% (31/183).There were 54 cases of iatrogenic injury (29.5%).The posterior urethral stricture accounted for 45.9% (84/183),followed by the anterior urethral stricture (44.8%,82/183) and the stenosis (6.6%,12/183).A total of 99 patients (54.1%) received the end to end anastomosis,and 40 (21.9%) were treated with intracavitary surgery,such as endoscopic holmium laser,cold knife incision,endoscopic electroknife scar removal,balloon dilation,and urethral dilation.In the patients over 65-years old,the urethral stricture rate was 14.8% and the complication rate (70.4%) for transurethral resection of the prostate (TURP) was significantly higher than that of all samples (P< 0.01).Conclusion:Both the etiology of male urethral stricture and the treatment strategy have changed and the incidence of traumatic and iatrogenic urethral stricture has increased in recent 3 years.The main treatment of urethral stricture has been transformed from endoscopic surgery into urethroplasty.