| Abstrakt: |
Introduction-The urethra becomes narrower in the Urethral Stricture. It is caused due to inflammation. It may be asymptomatic in some cases, while it shows concerning symptoms too in many cases. There may arise problems associated with urination. Those problems include pain while urinating and slowing of the urine stream than normal. When it is left untreated or delayed treatment is done it may lead to complications like damage to the kidneys and bladder and infertility. In this study, we have evaluated the causes, anatomical locations, clinical and radiological presentation, and compared the outcomes of various management methods available for anterior urethral strictures, such as: • Urethral dilatation • Internal urethrotomy • Urethral stents (not included in present study) • Open reconstruction In patients undergoing these above mentioned treatment procedures, the commonest complication seen in clinical practice is stricture recurrence. Methods: This study was conducted on 50 consecutive patients diagnosed with urethral stricture attending the Outpatient department and getting admitted to Department of surgery, J.A. Group of hospitals, Gwalior during the period of September 2020-September 2021 Result: -Closed methods (78%) were preferred to open methods, considering the length of strictures and owing to COVID - 19 pandemic situation, with internal urethrotomy being the most frequently used method. Short segment strictures were more frequently seen during the course of this study, as 86% of patients had stricture length less than 2cms. Conclusion: Anterior urethral stricture disease is one of the commonest complications of urethral injuries and has a substantial impact on quality of life resulting in infection, bladder calculi, fistulas, sepsis and ultimately renal failure.proper catheterisation was attempted under aseptic precaution. [ABSTRACT FROM AUTHOR] |
