URETHRAL STRICTURE REPAIR - RESULTS IN 179 PATIENTS

From 1977 till April 1990 169 operative reconstructions of urethral st rictures were carried out in this clinic. 49 patients with a short str icture (less than 2 cm) underwent excision and end to end anastomosis. In 18 patients with a long stricture (2-6 cm) one stage urethroplasty with a transverse distal penile or preputial island of skin flap was used. 102 patients with extensive or otherwise problematic strictures were subjected to two-stage mesh skin graft urethroplasty. In 10 patie nts with a short stricture we have recently implanted a new urethral s tent in the strictured area after visual urethrotomy. During a long-ti me follow-up a good anatomical and functional result was achieved in a ll but 2 patients who underwent an excision and end to end anastomosis . In the island flap urethroplasty group a restricture occurred in one patient, and mesh graft urethroplasty was successful in all but 3 pat ients. In the urethral stent patients the primary results are excellen t.