End to End Anastomotic Urethroplasty in the Management of Posterior Urethral Distraction Defect

Abstract

Posterior urethral distraction deficits are a difficult and complex clinical condition that necessitates specialized care in urological therapy. End-to-end anastomotic urethroplasty has emerged as a critical procedure for treating posterior urethral distraction abnormalities, providing a thorough and successful approach for restoring normal urethral function. Objective: To assess the outcome of end-to-end urethroplasty in posterior urethral distraction defects. Methods: This study was conducted at the departments of Urology, MTI LRH, and Peshawar from 1st November 2017 to 31st December 2021. It was a descriptive case-series study by design. Patients included were having blind urethral strictures. End to end urethroplasty was performed. Patients were followed for one year. Depending upon symptoms relief, uro-flowmetery studies, and radiographic findings at the end of one year, success was defined as good, fair, or poor. Results: The study included a total of 110 patients, with a majority being male (80%) and the remaining 20% being female. The mean age of the patients was 35 years, with the majority falling in the age group of 30-39 years (50.9%). Good outcomes were recorded in 79 patients (71.8%). 11 (10.0%) participants had poor outcomes. Conclusions: Urethroplasty is a gold standard treatment modality in terms of outcome for patients with posterior urethral distraction defects.