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Urethral stricture after transurethral resection
International Urology and Nephrology
|January 1, 1984
Summary
Iatrogenic urethral strictures are a common complication after transurethral resection (TUR). Identifying and addressing causative factors can reduce stricture incidence, with treatment tailored to stricture location.
Area of Science:
- Urology
- Surgical Complications
Background:
- Urethral stricture is the most common postoperative complication following transurethral resection (TUR).
- Iatrogenic urethral strictures can arise from pathological changes in the bladder and bladder neck post-TUR.
Purpose of the Study:
- To analyze the incidence and factors contributing to iatrogenic urethral strictures after transurethral resection.
- To evaluate the effectiveness of addressing causative factors in reducing stricture rates.
Main Methods:
- Retrospective analysis of 101 transurethral resection cases.
- Identification of stricture localization and associated pathological changes.
- Evaluation of treatment strategies based on stricture location.
Main Results:
- 10 cases (approximately 9.9%) of iatrogenic urethral strictures were observed after 101 TUR procedures.
- Fifty percent of strictures were localized in the pars pendulans urethrae.
- Reduced incidence rates were noted when causative factors were considered.
Conclusions:
- Urethral stricture remains a significant complication of TUR.
- Proactive management of causative factors is crucial for minimizing stricture incidence.
- Therapeutic approaches, including conservative, surgical, and increasingly endoscopic methods, should be individualized based on stricture characteristics.