Prospective Clinical Study of Traumatic Stricture Urethra

Author(s): Dhananjaya Kumar B R, Shivalingaiah M, Mayank Jain, Pramod Adiga, Navaneeth Srinidhi R

Introduction: Traumatic stricture urethra is a rare entity, with surgery being the only treatment modality. We aim to evaluate and analyse the surgical outcomes and erectile function in patients who undergo surgical treatment for traumatic urethral stricture disease at our institution.

Material and Methods: A prospective study was conducted on 57 male patients who presented between Aug 2015 and Dec 2017 in our institution, with post traumatic stricture urethra. The urethral rupture was confirmed by RGU and patients underwent suprapubic catheterisation initially. At 3 months these patients underwent delayed anastomotic urethroplasty. The patients were followed up for 6 months- 24 months. Erectile function was assessed by IIEF-5 questionnaire pre operatively and post-operatively at 6 months.

Results: Mean age of patients was 38.5 years. Majority of the patients (36.84%) were between 21 to 30 years of age..Majority of the patients (32) had road traffic accidents (indirect) and 12 patients had history of fall/direct trauma to perineum or urethra. Twelve (21.05%) patients developed complications postoperatively. Early complications of wound infection occurred in 08 (14.03%) patients. Late complications were seen in 12 (21%) patients i.e. restenosis. Erectile dysfunction is seen in 42.11% patients at the end of six months. Overall surgical success rate was 78.9 % at 6 months.

Conclusion: Delayed anastomotic urethroplasty is an effective procedure for traumatic urethral strictures with good surgical results. Recurrence of stricture is most common complication. But, surgical procedure leads to some degree of erectile function.