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The problems of penile urethroplasty with particular reference to 2-stage reconstructions
D E Andrich1, T J Greenwell, A R Mundy
1Institute of Urology, London, UK.
Purpose:
We evaluate the anecdotal high revision rate of 2-stage urethroplasty.
Materials And Methods:
The short-term revision rates after 1-stage (139 cases) and 2-stage (103) urethroplasties were compared.
Results:
There were 4 revisions after 1-stage urethroplasty (4 of 139, 3%) and all involved the penile urethra (20%). The revision rate was 37.8% after stage 1 and 25.3% after stage 2 and of 2-stage urethroplasty 85%, involved the penile urethra.
Conclusions:
Although 2-stage has a significantly lower re-stricture rate than 1-stage urethroplasty for complex strictures in the penile urethra, it does so at the expense of a significantly higher revision rate particularly of the penile urethra.