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Updated: Jun 28, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Complications following urethral reconstructive surgery: a six year experience
Neema Navai1, Bradley A Erickson, Lee C Zhao
1Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Summary
Complications from urethral reconstructive surgery, mainly infection or repair breakdown, occurred in 15% of cases. However, these complications did not significantly impact long-term stricture recurrence rates.
Area of Science:
- Urology
- Surgical Outcomes
Background:
- Urethral stricture disease affects numerous patients, necessitating reconstructive surgery.
- Understanding intraoperative and postoperative complications is crucial for improving surgical outcomes.
Purpose of the Study:
- To evaluate the incidence of intraoperative and postoperative complications in urethral reconstructive surgery.
- To determine the impact of these complications on the overall success of the reconstructive procedures.
Main Methods:
- A retrospective review of 153 consecutive urethral reconstructive procedures performed between June 2000 and May 2006.
- Complication rates were analyzed and stratified by stricture etiology, patient age, stricture characteristics, and repair type.
Main Results:
- Overall, 15% of cases experienced intraoperative or postoperative complications, with infection being the most frequent (9 cases).
- Substitution urethroplasty had a higher complication rate (17%) compared to anastomotic urethroplasty (9.1%).
- No statistically significant difference in stricture recurrence was observed between patients with and without complications at intermediate follow-up (p = 0.08).
Conclusions:
- The primary complications following urethral reconstruction are infection and repair breakdown, typically occurring early postoperatively.
- Intraoperative or postoperative complications do not appear to significantly affect the likelihood of eventual stricture recurrence in the intermediate term.
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