Etiology of Posterior Urethral Strictures: Analysis of 116 Cases

Cem Nedim YÜCETÜRK; Buğra Bilge KESEROĞLU

Article Details

Etiology of Posterior Urethral Strictures: Analysis of 116 Cases

Authors:

Cem Nedim YÜCETÜRK | Buğra Bilge KESEROĞLU

Publisher:

Ankara EAH

Main Topics:

Promotion of health

Journal:

Medical Journal of Ankara Training and Research Hospital 2020 Vol.53 Issue 2, pp.76-80

Document Type:

Article

Publication Date:

8/2020

Document Language:

Turkish

Document ID (Org No.):

2000672242

Frequency:

Tri-annual

pISSN:

1304-6187

Abstract:

 

Purpose: In this study our aim was to investigate  the current etiology of posterior urethral stricture disease in our department and to observe if there have been any differences in the major causes of urethral strictures.
Patients and Methods:  We analysed  116 male patients  between March 2009 and September 2019 to evaluate the etiology of  posterior urethral strictures. All patients had been assesed preoperatively,including detailed  medical history,physical examination,retrograde urethrogram and uroflowmetry.  We examined all patients in terms of  age, stricture site,the most probable cause of the stricture and stricture length. We classified the location of  posterior stricture into three anatomic parts: membranous urethra,prostatic urethra and bladder neck and stricture etiologies were subcategorized into idiopathic,inflammatory,iatrogenic and traumatic.
Results: The most common site of the strictures  was the membranous urethra (67 patients, 57.8%) followed by the prostatic urethra ( 27 patients, 23.3%) and bladder neck (22 patients, 18.9%). The two main overall posterior urethral stricture causes were iatrogenic (79 patients,68.1%) and traumatic (24 patients,20.7%).The less common causes were idiopathic (11 patients,9.5%) and urethritis(2 patients,1.7%). Of the patients in iatrogenic group, TUR-P and TUR-BT were the most common etiologic factors. ( 42 patients,36.2%) All urethral strictures were short(<2 cm) and treated with endourological surgery.( Optical İnternal Urethrotomy and urethral dilation) 
Conclusion: In our instution, especially iatrogenic causes were the most seen etiologic factor of posterior urethral strictures.These findings suggested us to be more careful during the endoscopic procedure ,  to use  suitable calibered instrumentation and  avoid  unnecessary urethral interventions.

Article Details

Etiology of Posterior Urethral Strictures: Analysis of 116 Cases

Authors: Cem Nedim YÜCETÜRK | Buğra Bilge KESEROĞLU

Publisher: Ankara EAH

Main Topics: Promotion of health

Journal: Medical Journal of Ankara Training and Research Hospital 2020 Vol.53 Issue 2, pp.76-80

Document Type: Article

Publication Date: 8/2020

Document Language: Turkish

Document ID (Org No.): 2000672242

Frequency: Tri-annual

pISSN: 1304-6187

Issues

Authors:

Cem Nedim YÜCETÜRK | Buğra Bilge KESEROĞLU

Publisher:

Ankara EAH

Main Topics:

Promotion of health

Journal:

Medical Journal of Ankara Training and Research Hospital 2020 Vol.53 Issue 2, pp.76-80

Document Type:

Article

Publication Date:

8/2020

Document Language:

Turkish

Document ID (Org No.):

2000672242

Frequency:

Tri-annual

pISSN:

1304-6187