Managing Urethral Stricture Disease in a Peripheral Hospital in Nepal

Abstract

Background: Urethral stricture disease is a complex disease because of demanding procedures to treat and high recurrence rate. Proper selection of the patient for a particular procedure is needed. Complex procedures of urethroplasty however, have very good results in expert hands. Materials and methods: This was a retrospective study done at Urology Department of Nepalgunj Medical college, Nepalgunj Hospital over a period of three years. Fifty patients were included.

Results: Mean age of the patients was 48 ± 19.11 years. The most common presenting symptom was low stream and straining. Twenty-five patients who had short length stricture underwent DVIU, while other complex strictures were dealt with by different forms of urethroplasty. Outcome was good in terms of post operative uroflowmetry results. Conclusion: DVIU has good outcome in properly selected group but has high recurrence. Urethroplasty in different forms has best results on long run.

Keywords: Urethral Stricture Disease, Peripheral, recurrence rate