الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Urethral stricture disease causes a significant impact on patient quality of life, often because of debilitating lower urinary tract symptoms and/or urinary tract infections. A variety of treatment approaches exist, including urethral dilation, visual internal urethrotomy and urethral stenting. However, open urethroplasty is a highly effective and durable approach for treating stricture disease The debate to transect or not to transect the bulbar urethra is usually based on the stricture etiology but its effect the success rates and development of sexual dysfunction after urethroplasty is not yet determined. Our study was designed as prospective randomized study and it was carried out as a part of the co-operation between the urology department in Tanta University - Egypt and Kulkarni reconstructive urology center – India. The study was approved by the ethical committee in both Universities and an informed consent was obtained from all participants. The study aimed to compare the results (safety and efficacy) of transecting versus non-transecting urethroplasty techniques used for management of non-traumatic bulbar urethral stricture. Sixty patients were randomly distributed into two equal groups; group I (30 patients) underwent transecting urethroplasty and group II (30 patients) underwent non- transecting urethroplasty. There was no significant difference as regards patients’ demographic data between both groups. Success rate in the transecting group, it was 90 %), while it was 86.7 % in the non-transecting group. (p=1) As regard erectile dysfunction, In the transecting group, 5 patients reported erectile dysfunction (16.7 %). while in nontransecting group,2 patients reported erectile dysfunction (6.7 %) . There was a difference in between both groups but this difference was not significant (p=0.424). In Conclusion, Anastomotic urethroplasty of short segment bulbar strictures continues to have excellent success rates and durability, but some patients who undergo anastomotic urethroplasty experience de novo sexual dysfunction. In our study we did not find that non transecting bulbar urethroplasty reduces sexual morbidity if compared with that caused by transecting bulbar urethroplasty. In addition to the type of surgery, we had found that the age of the patient at the time of surgery is a determinant factor for developing de novo erectile dysfunction after urethroplasty. Patients older than 50 years are at higher risk for developing de novo erectile dysfunction after urethroplasty.