Abstract:
Background
Urethral strictures remain a major problem in the
developing countries unlike in the developed world.
It is prudent to establish the success rates of various
methods of urethroplasty in our regional setting.
Patients And Methods
Patients who underwent various types of urethroplasty
at the Institute of Urology at Kilimanjaro Christian
Medical Centre (KCMC) from February 2009 to April
2011 were involved in this hospital based descriptive,
prospective, cohort study. The available options
for urethroplasty were anastomotic, staged and
substitution urethroplasties and were chosen on the
basis of institutional protocol on site, number and length
of stricture and recommended form of urethroplasty.
Urethral and suprapubic catheters were left insitu
and on the third post operative day, urethral catheter
was spigoted. Patients stayed in the ward for seven
days then discharged home for two weeks when they
would come for urethral catheter removal on the 21 st
postoperative day.
Results
One hundred and five patients underwent urethroplasty.
The age ranged from 4 years to 83 years with a mean
±Standard Deviation of 45.8± 18.5 years. Eighty-four
point eight percent of the strictures were in the anterior
urethra. The overall success rate for urethroplasty
was 88.4%. The specific success rates were 87.3% for
anastomotic, 92% for staged and 93% for substitution
urethroplasty.
Conclusion
The urethroplasty success rate in KCMC compares
favorably with other tertiary centers in the world.
Substitution urethroplasty has the best outcome for
stricture surgery.
