INTERNAL ENDOSCOPIC URETHROTOMY FOR URETHRAL STRICTURES : EVALUATION OF RESULTS AND INFLUENZATING FACTORS

Objective: To describe the clinical aspects of urethral strictures managed internal endoscopic urethrotomy (IEU) and to evaluate the outcomes and factors on success rate.

Patients and methods:This is a retrospective, descriptive, analytical and monocentric 2-year study of patient records with an IEU indicated for urethral stricture. The parameters studied were: age, history of endo-urethral maneuvers, clinical symptomatology,etiologies, strictures characteristics and outcomes. The outcomes were appreciated by the quality of the voiding jet and the outcomes of the control rétrograde urethrocystography..

Results:Sixty patients were included. The mean age was 50±19.3 years old. An history endo-urethral was found in 38.3% of patients. The mean of consultation time was 20.7±30.7 months. Dysuria was the most common reason for consultation. The most common etiologies were those of infectious and iatrogenic. The bulbar seat was predominant. The mean of length was 0.9±0.5cm. After the mean delay of 14.5 ± 6.9 months, the overall success rate was 60%. Per and postoperative complications were dominated by retention of urine. The outcomes showed that there was no significant correlation between age, previous treatment, etiology, seat, length, number of strictures, and outcome. 

Conclusion:The IEU gives a good results if the indication is well posed. Seat, length, single or multiple character, etiology and history of endo-urethral maneuvers do not affect the outcomes.