Imran Ansari, Muhammad Akhlaque, Irumshahzad, SarmadImtiaz,Saira Khan
Aim: To compare
recurrence rate between internal optical urethrotomy and end to end
urethroplasty in patients with anterior urethral stricture up to 1.5 cm.
Methodology: Comparative Cross-Sectional
Study was conducted in Department of Urology, Mayo hospital during June 2016 to
July 2018. Sample size of eighty patients (forty patients in each group A&B
respectively) were estimated by using Nonprobability convenience sampling.
Group A treated with End to End urethroplasty
where group B Patients treated with IOU for same length of stricture.
Recurrence rate was evaluated on follow –up after 3 month. Data was collected
and entered in SPSS-20.
Results: Recurrence after
three months in patients showed significant difference as p value is (0.002)
which is less than 0.5 also 0.1 % of level of significance. In group A i.e. end
to end urethroplasty 8 (20.0 %) patients respond on yes and 32 (80.0 %)
patients respond on no. Which indicate that less chance of recurrence in end to
end urethroplasty. In group B i.e. internal optical urethroplasty 21 (52.5 %)
patients respond on yes and 19 (47.5 %) patients respond on no. which indicates
that the chance of recurrence is more in internal optical urethrotomy than end
to end urethroplasty.
Conclusion: study concluded
that urethroplasty is best for the treatment of urethral stricture up to 1.5
cm. In few cases the urethrotomy option may also be best in outcome after a
subsequent urethroplasty. The main difference in urethroplasty and urethrotomy
is the recurrence and the rate of recurrence is less in urethroplasty. So we
conclude and proposed that urethroplasty is best option.