Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal

AbstractObjectivesTo report our experience with urethroplasties due to male urethral stricture disease and to identify factors affecting the results.Patients and MethodsBetween January 2007 and December 2010, 75 urethroplasties performed due to male urethral stricture were prospectively collected.ResultsThe mean age of patients was 52.6 years (median: 56 years) for urethroplasties by substitution and 47.3 years (median: 47.5 years) for anastomotic urethroplasties. The most common localization of urethral stricture was the bulbar urethra (63.3%). The length of the stricture averaged 1.95±0.72cm (median 2cm) in anastomotic urethroplasties and 4.40±1.54cm (median 4cm) in urethroplasties by substitution. The success rate was 69.8% (37/53) for anastomotic urethroplasties, 23.1% (3/13) for urethroplasties using Quartey's technique, 25% (1/4) for Blandy's urethroplasties. The success rate was 81% (17/21) in patients operated on by experienced surgeons, and 53.7% (29/54) in those operated on by young surgeons (p=0.02). The success of urethroplasty was more frequent for urethral strictures between 1 and 5cm (46/69) than in those greater than 5cm (0/6) (p<0.05), when the diagnosis of stricture was done within the phase of dysuria (11/13) than when it was done during the phase of progressive complications of the urethral stricture (35/62) (p