Long-term results of two-stage urethroplasty

Forty-two patients undergoing a two-stage urethroplasty for stricture were reviewed and the long-term sequelae of 30 patients followed up for a minimum period of 1 year (mean 6.3, range 1-14) are presented. Twenty-six patients (87%) were considerably improved, with only minor or no symptoms. Three patients (10%) continued to require treatment for urethral stone or recurrence of stricture and one patient was incontinent. The stricture was eradicated in 28 patients (93%). The late sequelae showed that perineal fistula may not develop until 2 years after the second-stage repair, urethral stone formation until 8 years and recurrence of stricture until 12 years after the second stage. This late onset of sequelae emphasises the importance of long-term follow-up in these patients.