Etiology and outcome of primary anastomotic urethroplasty for bulbous urethral stricture

Urethral stricture is among the common urological conditions which can have significant impact on one’s quality of life. If managed properly it is completely curable. Selections of the method with respect to the type of the stricture have much effect on the outcome. The aim of the study was to determine the outcome in patients who had bulbous urethral stricture and underwent anastomotic urethroplasty. This was a hospital based descriptive retrospective cohort study, patients who had bulbous urethral stricture and underwent anastomotic urethroplasty from year 2016 to 2019. Data were analyzed using statistical package for social science (SPSS) version 16.0 and summarized in tables and figures. One hundred and fifteen patients were included in the study; the mean age was 46.96 (SD ±19.17 years), the commonest site for stricture was proximal bulbous with 56 (48.7%), majority of patients 67(58.3%) presented with stricture ≤2cm. Forty five patients (39.1%) had history of perineal trauma. The overall success rate for anastomotic urethroplasty to bulbous urethral stricture found to be 82.6%.

These results suggest that Anastomotic urethroplasty remain the best options in bulbar urethral strictures <2 cm.