Internal Urethrotomy in Patients with Bulbar Urethral Strictures After Transurethral Resection of the Prostate:Is it Reliable?
Engin Kolukcu1, Murat Beyhan21Department of Urology, Tokat State Hospital, Tokat, 2Department of Radiology, Tokat State Hospital, Tokat
Objectives: This study aimed to evaluate the reliability of internal urethrotomy in the treatment of bulbar urethral strictures developed after transurethral resection of the prostate (TURP). Methods: The data of 62 patients who developed bulbar urethral stricture following TURP and underwent internal urethrotomy as a treatment method between January 2014 and March 2018 were analyzed retrospectively. The demographic data of the patients, presenting findings, operative time, urinary catheterization time, complication rates were evaluated according to the modified Clavien classification system. Results: The mean age of the patients was 63.46±10.75 years. Complications related to internal urethrotomy were as follows: four patients had urethrorrhagia, three patients had urinary tract infection, two patients had hematuria, one patient had acute urinary retention, and one patient had penile edema. The mean operative time was 31.29±16.46 minutes. When the operative complications were evaluated according to the modified Clavien classification six patients had grade 1, four patients had grade 2, and one patient had grade 3A complications. Conclusion: The findings of our study have led us to conclude that internal urethrotomy is a highly reliable treatment modality in the treatment of bulbar urethral strictures following TURP. Keywords: Bulbar urethral stricture, internal urethrotomy, transurethral resection
Cite This Article
Kolukcu E, Beyhan M. Internal Urethrotomy in Patients with Bulbar Urethral Strictures After Transurethral Resection of the Prostate:Is it Reliable?. EJMI. 2019; 3(2): 132-136
Corresponding Author: Engin Kolukcu