The Outcome of Delayed One Stage Urethroplasty in Post-Traumatic Prostato-Membranous Urethral Stricture : A Retrospective Study of 50 Cases

We have reviewed the result of delayed one stage urethroplasty through perineal approach in post traumatic prostato-membranous urethral stricture with associated pelvic fracture in a retrospective study. The place of study is Bangladesh Medical College Dhaka. The study period was from Nov 01 to Aug 04. The sample size was 50. Thirty two cases presented with post-traumatic stricture of urethra ( PTSU ) with suprapubic cystostomy (SPC). The rest 18 cases were complicated and presented with recurrent stricture with associated periurethral abscess, suprapubic and perineal urethral fistula or thigh urinoma. These cases were managed initially by suprapubic cystostomy (SPC) and adequate local care before re-admission for definitive procedure. All cases were underwent delayed one stage urethroplasty through perineal approach after 3 months of SPC and were followed carefully for 06 months in each case. The outcome in 42 cases were excellent; required no treatment. In 06 cases the result was good requiring 01 - 03 sessions of optical internal urethrotomy (OIU). Poor result was observed in 02 cases, managed by 3 sessions of OIU followed by intermittent self dilatation (ISD). No patient needed reoperation. The overall result is excellent.