الفهرس 
Introduction & Aim of the workOnly 14 pages are availabe for public view
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Abstract
Urethral stricture has negative impact on quality of life, one of the modalities of management is anastomotic urethroplasty. The success depends on many predictors like age, severity of trauma, paraurethral pathology & urethral stricture specific parameters (location, length, spongiofibrosis). Aim of the work: This study is to assess the risk factors that predict urethral stricture recurrence following anastomotic urethroplasty in adult males at a tertiary surgical center. Patients & Methods: One hundred fifty adult patients underwent anastomotic urethroplasty for post-traumatic urethral strictures .were retrospectively reviewed. The potential risk predictors included age at surgery, clinical presentation, BMI, medical present history, stricture length, follow up duration, interval duration between injury and urethroplasty, etiology, pelvic fractures and its type, previous urethral dilatation, presence of paraurethral pathology, previous urethral surgical procedures, severity of urethral obstruction, associated spongiofibrosis, surgical approach and additional intraoperative procedures. In addition, number of recurrences (single recurrence versus multiple recurrences) and duration (early versus late) of urethral stricture recurrence were analyzed Results: Eighty four (56%) patients (group I) had no recurrence, sixty six (44%) patients (group II) had urethral stricture recurrence. The mean age was 35.8±14 years. Median follow-up duration was 62.5months. Age at surgery, presence of pelvic fractures, presence of paraurethral pathology and previous urethral dilatation were statistically significant risk factors using univariate and multivariate analyses. The remaining studied risk predictors failed to show statistically significant power. Previous urethral dilatation was the only significant risk factor for late stricture recurrence (p value 0.047). The vast majority of recurrences were observed during the first two years post operatively Conclusion & Recommendations: Age presence of pelvic fractures, associated paraurethral pathology and urethral dilatation were strong predictors for urethral stricture recurrence following anastomotic urethroplasty. Recurrence of urethral stricture is more likely to develop within 24 months after surgical correction, so follow up after this period is only required if obstructive symptoms occur. These facts are important to be considered on patient counseling. Previous urethral dilatation was considerable predictor for late urethral stricture recurrence.