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Iatrogenic prostatic urethral strictures: classification and endoscopic treatment.
1Urology Department, San Giovanni Hospital, Rome, Italy.
Urology
|April 10, 1999
Summary
Endoscopic therapy effectively treats postoperative prostatic urethral strictures. This study shows a 92% success rate, with good outcomes for various stricture types, making it a reliable treatment option.
Area of Science:
- Urology
- Surgical Endoscopy
Background:
- Posterior urethral strictures present a complex treatment challenge.
- Differentiating iatrogenic prostatic from post-traumatic membranous strictures is crucial for effective management.
Purpose of the Study:
- To classify iatrogenic prostatic urethral strictures by location and etiology.
- To evaluate the efficacy and outcomes of endoscopic therapy for these strictures.
Main Methods:
- A classification system for iatrogenic prostatic urethral strictures (Type I, II, III) was utilized.
- 163 patients with postoperative prostatic urethral strictures were treated endoscopically between 1970 and 1996.
Main Results:
- The study reports on 122 evaluable patients with a median follow-up of 63 months.
- Overall success rate was 92% (112/122), with high success rates for Type I (91%) and Type II (98%) strictures.
- Complications occurred in 17% of patients, including urinary tract infections and incontinence.
Conclusions:
- Postoperative prostatic urethral strictures are recognizable entities.
- Endoscopic therapy offers an effective and accessible treatment option for these strictures.