Urethral stricture complicating transurethral prostatic surgery

Area of Science:

• Urology
• Surgical Complications

Background:

• Transurethral prostatic resection (TURP) is a common procedure for benign prostatic hyperplasia (BPH).
• Urethral stricture is a known complication following TURP, impacting urinary function.
• Understanding risk factors and effective treatments for post-TURP urethral stricture is crucial for patient outcomes.

Purpose of the Study:

• To determine the incidence of urethral stricture after TURP for BPH.
• To identify the common locations and effective treatment modalities for these strictures.
• To evaluate preoperative factors, such as bacteriuria and catheter use, as potential predisposing factors.

Main Methods:

• Retrospective analysis of 336 patients who underwent transurethral prostatic resection for benign hyperplasia.
• Documentation of stricture formation, location, and treatment interventions.
• Statistical review of preoperative conditions including bacteriuria and indwelling catheter use.

Main Results:

• An overall incidence of 9% for urethral stricture was observed among the 336 patients.
• Strictures were predominantly located in the penile urethra.
• Successful treatment was achieved with regular dilation, internal urethrotomy, or meatal incision.
• Preoperative bacteriuria or indwelling catheter use did not appear to increase stricture risk.

Conclusions:

• Urethral stricture is a notable complication of TURP for BPH, occurring in 9% of cases.
• Penile urethral strictures are common and amenable to conservative management.
• Careful technique, including using fine-calibre resectoscopes and considering preliminary internal urethrotomy for narrow urethras, may help prevent stricture formation.