[Causes and management for male urethral stricture]

Area of Science:

• Urology
• Surgical Research
• Male Reproductive Health

Background:

• Male urethral stricture is a significant cause of lower urinary tract symptoms.
• Understanding evolving etiologies and treatment outcomes is crucial for patient management.

Purpose of the Study:

• To investigate the changing causes of male urethral stricture.
• To analyze current therapeutic strategies and their associated complications.
• To review complex cases and treatment shifts.

Main Methods:

• Retrospective analysis of 183 male urethral stricture patients.
• Data collected on etiology, stricture location, length, treatment, and complications.
• Statistical comparison of treatment outcomes and complication rates.

Main Results:

• Traumatic (52.4%) and iatrogenic (29.5%) injuries are leading causes of urethral stricture.
• Posterior (45.9%) and anterior (44.8%) urethral strictures are most common.
• Urethroplasty (54.1%) is now preferred over endoscopic surgery (21.9%).
• Older patients (>65) showed higher complication rates with transurethral resection of the prostate (TURP).

Conclusions:

• Male urethral stricture etiology is increasingly linked to trauma and iatrogenic factors.
• Treatment paradigms have shifted towards urethroplasty from endoscopic interventions.
• Age influences complication risks, particularly with TURP in elderly patients.