DOI: 10.21276/sjams.2016.4.12.069

Pages: 4554-4557

Objective: This study was conducted to compare the outcome between optical internal urethrotomy and end to end urethroplasty in patients with short segment bulbar urethral stricture up to 1.5 cm. Methods: This comparative purposive sampling study was conducted in the Department of Urology, Bangabandhu Sheikh Mujib Medical University over a period from January 2014 to December 2014. A total of 50 patients with short-segment (≤ 1.5 cm) bulbar urethral strictures were consecutively included in the study (25 patients in each group). Student’s t-test and chi-square test were applied for hypothesis testing. ‘P’ value <0.05 was considered as significant. Results: About 20% of patients in OI Urethrotomy group experienced bleeding and another 4% incontinence. In contrast, 6% of patients in Anastomotic Urethroplasty group complained of periurethral leakage, 8% fever and another 8% wound infection. Six (24%) of patients in OI Urethrotomy Group developed narrow urinary stream at month 3, as opposed to none in Anastomotic Urethroplasty Group (p = 0.001). Nearly 30% of patients in OI Urethrotomy Group had narrow urinary stream at month 6 compared 4% in Anastomotic Urethroplasty Group (p = 0.024). The recurrence rate of stricture in OI Urethrotomy was 24% (6 out of 25 patients) at month 3. However, none in Anastomotic Urethroplasty Group had history of recurrence of stricture (p = 0.011). At baseline the mean uroflowmetry was 5.5 ml/sec in both groups which immediately increased to 25.3 ± 2.6 ml/sec and 23.9 ± 2.2 ml/sec in OI urethrotomy and Anastomotic Urethroplasty groups respectively and then dropped to 18.4 ± 6.3 ml/sec and 20.2 ± 2.6 ml/sec in OI Urethrotomy and Anastomotic Urethroplasty groups respectively at month 3 and to 17.8 ± 6.4 ml/second 19.6 ± 2.6 ml/sec respectively at month 6. Conclusion: The study concluded that anastomotic urethroplasty was an effective and satisfactory technique for the treatment of short segment bulbar urethral stricture. The morbidity and co