The Cause, Modes of Presentation, Investigations and Initial Management Procedures in Urethral Stricture Disease
Journal Title: Urology, Nephrology and Andrology International - Year 2018, Vol 3, Issue 2
Abstract
Background: Stricture and fibrosis is the result of wound healing by chronic inflammation resulting in the formation of scar. Stricture Urethra patients have varied clinical presentations from Irritative to Voiding lower urinary tract symptoms (LUTS). The present study was undertaken to record the investigations and initial management of urethral structure disease. Materials and Methods: It is a non - randomized prospective studyconducted in 50 Men with a diagnosis of Urethral stricture disease, who underwent Urethroplasty (n=25), VIU (n=25). Pre-operative symptom assessment and investigations were done and treatment outcomes such as Subjective assessment, Objective tests and complications were studied. Statistical Analysis: Chi square test, Cramer’s V test, Repeated Measures ANOVA was the tests used for statistical analysis of data using SPSS software. Result & Discussion: The most common cause of urethral stricture is external trauma (32%) and in Group 2, most common cause is Iatrogenic (48%). This did not show any statistically significant (p=0.591) difference when Cramer’s V test for symmetric measures was performed (p=0.505 and p=0.591 respectively). VIU as a treatment option for patients with short-segment bulbar strictures has a success rate of ~ 60%, with the remaining requiring a secondary procedure within 6 months.
Authors and Affiliations
Prasad H. L
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