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Background & Method: The aim of present study is to evaluate the stricture of posterior urethra before& after ‘U’ shape urethroplasty by uroflowmetry, RCU/MCU, patient satisfaction and Urethroscopy. The detailed history and physical examination will be carried out. Dye studies will be done both pre and postoperatively. Then patient satisfaction will be noted both objectively and subjectively and patient will be counselled for urethroscopic examination postoperatively. Result: The youngest patient was 10 years old and the oldest was 68 years. From the above table it is seen that maximum no. of cases (33.6 %) belong to 21-30 years age groups i.e. 18. Mostly catheter was removed on 21 to 30 day as keeping catheter for long duration would increase the chances of infection. Thus, it can be seen that stricture in membranous urethral is the most common site in the stricture involving the posterior urethra. Conclusion: Various modalities of treatment have evolved over the years, primary suturing, endoscopic realignment and initial SPC followed by delayed anastomosis for posterior urethral stricture which is considered as gold standard. 33.6 % of posterior urethral stricture was in the age group of 21-30 yrs. Pelvic injuries were responsible for 67.27% of posterior urethral stricture. Perineal approach has been proven to be the best approach since it preserves the neurovascular bundles hence there are lower chances of impotence, restenosis.
Background & Method: The aim of present study is to evaluate the stricture of posterior urethra before& after ‘U’ shape urethroplasty by uroflowmetry, RCU/MCU, patient satisfaction and Urethroscopy. The detailed history and physical examination will be carried out. Dye studies will be done both pre and postoperatively. Then patient satisfaction will be noted both objectively and subjectively and patient will be counselled for urethroscopic examination postoperatively. Result: The youngest patient was 10 years old and the oldest was 68 years. From the above table it is seen that maximum no. of cases (33.6 %) belong to 21-30 years age groups i.e. 18. Mostly catheter was removed on 21 to 30 day as keeping catheter for long duration would increase the chances of infection. Thus, it can be seen that stricture in membranous urethral is the most common site in the stricture involving the posterior urethra. Conclusion: Various modalities of treatment have evolved over the years, primary suturing, endoscopic realignment and initial SPC followed by delayed anastomosis for posterior urethral stricture which is considered as gold standard. 33.6 % of posterior urethral stricture was in the age group of 21-30 yrs. Pelvic injuries were responsible for 67.27% of posterior urethral stricture. Perineal approach has been proven to be the best approach since it preserves the neurovascular bundles hence there are lower chances of impotence, restenosis.
Stricture, Posterior, Uroflowmetry, RCU/MCU & Urethroscopy
Stricture, Posterior, Uroflowmetry, RCU/MCU & Urethroscopy
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