الفهرس 
Introduction & Aim Of The WorkOnly 14 pages are availabe for public view
 |  | from | 159 |  |  |
| | | from | 159 | | |
Abstract
Strictures of the urethra are the most common cause of obstructed micturition in younger men and frequently recur after initial treatment. Standard treatment comprises internal widening of the strictured area by simple dilatation or by telescope-guided internal cutting (optical urethrotomy), but these interventions are associated with a high failure rate requiring repeated treatment. The alternative option of open urethroplasty, where by the urethral lumen is permanently widened by removal or grafting of the strictured segment, is less likely to fail but requires greater expertise (Schreiter,2006).
Reconstructive surgeons who perform urethroplasty have a variety of techniques in this armamentarium that may be used according to factors such as etiology, stricture position, and length.
This is a prospective study which was carried out to evaluated the outcome of urethroplasty in anterior urethral strictures by two technique (resection anastomosis and augmented anastomotic urethroplasty) and discuss the associated indications, operative technique, outcome and problems.
The present study was conducted on 35 male patients suffering from anterior urethral stricture disease who were presented to Urology Department at Minia University Hospital from October 2012 to August 2013. Out of thoses 35 patients, only 22 were candidates for the study protocol according to inclusion and exclusion criteria.
Patients were categorized into 2 groups:
Group A: included 13 patients with short segment anterior urethral stricture (≤2 cm) who were managed with resection anastomosis urethroplasty.
Group B: included 9 patients with long segment (more than 2cm) anterior urethral stricture who underwent augmented anastomotic urethroplasty.
Patients were followed up for a mean period of 10 months (range 6-15 months). The mean age in group A was 37.07 ± 15.87 and in group B was 50.55 ± 17.87. The main presenting symptoms in both groups were voiding related symptoms in the form of weak narrow stream. The most common cause of stricture in group A was traumatic cause (69.2%) but the most common cause in group B was an inflammatory cause (55.6 %). The mean length of stricture in group A was 1.66 ± 0.47 and in group B was 4.5 ± 1.43 and mean length of flap was in group B 3.68 ± 1.43. Intraoperative complications occurred in one patient in group A (7.7%) and in two patients in group B (22.2%). While, immediate postoperative complications occurred in 4 patients in group A (30.8%) and in 3 patients in group B (33.3%).