A new technique for the obliterative urethral strictures.

Area of Science:

• Urology
• Surgical Techniques

Background:

• Obliterative urethral strictures present a significant clinical challenge, with difficulties in reducing surgical morbidity and enhancing treatment efficacy.
• Current treatment strategies often face limitations in achieving optimal outcomes and patient satisfaction.

Purpose of the Study:

• To evaluate the efficacy and safety of the "three lines lie within one imaginary plane" (TLLWOIP) surgical technique for treating obliterative urethral strictures.
• To assess the impact of TLLWOIP on perioperative variables, urinary function, and quality of life in patients with urethral strictures.

Main Methods:

• A single-institution case series involving 97 patients diagnosed with obliterative urethral strictures.
• Patients were treated using the TLLWOIP technique, with perioperative data and outcomes meticulously recorded.
• Evaluation included urinary flow rate, residual urine (RU) volume, and quality-of-life scores (QoLs).

Main Results:

• The TLLWOIP technique demonstrated a notable success rate of 62.9% in treating obliterative urethral strictures.
• Postoperative analysis revealed significant improvements in maximum urinary flow rate (24.36 ± 10.69 ml).
• Patients experienced significant reductions in postoperative residual urine (RU) volume and improvements in quality-of-life scores (QoLs) compared to preoperative levels.

Conclusions:

• The TLLWOIP technique is a viable and effective option for the initial management of obliterative urethral strictures.
• This approach shows potential for reducing surgical wound complications and improving therapeutic success rates.
• TLLWOIP offers a favorable risk-benefit profile for patients requiring treatment for urethral strictures.