Surgery therapy of urethral stricture(Report of 83 cases)

Objective:To summarize the surgery therapy experience of 83 patient of urethral stricture.Methods:The endoscope was used in 54 cases with the length of stricture less than 1.5 cm.The open operation was performed on 21 of 29 patients with the length of stricture over 1.5 cm,and urethroplasty with prepuce allograft or penis skin flap was performed on 4 of them.5 of the other 8 cases received endoscope operation and got prepuce allograft.Results:The follow-up were 6 to 36 months,85.5% patients who received open operations can urinate easy and smooth.Nevertheless it is 89.9% in endoscope operation group.Conclusions:The operation way is determined by the length of stricture.The endoscope is fit for patients whose length of stricture is less than 1.5 cm.When it is over 1.5 cm,the open operation is more suitable.The prepuce skin graft or the penis skin flap is a rational surrogate of long urethral stricture.