[OP-057]Retrospective analysis of urethral strictures after transurethral resectionEmrullah Durmuş1, Talip Göktaş1, Engin Özbay2, Remzi Salar1, Halil Felat Öncel1, Mehmet Erol Yıldırım3, İbrahim Ünal Sert42Yozgat City Hospital, Yozgat 3Keçiören Hospital, Ankara 4Necmettin Erbakan Unv. Meram Medical School, Deparment of Urology, Konya Retrospective analysis of urethral strictures after transurethral resection PURPOSE: Urethral strictures; Repeater, is highly disruptive to the quality of life and treatment is difficult. 301 male patients who underwent trans urethral resection (TUR) surgery between January 2010 and January 2017 in our clinic were retrospectively analyzed in terms of the factors that may lead to the development of urethral stricture. MATERIAL-METHOD: 331 procedures were performed on 301 patients in our clinics. The mean age of the patients was 71.4 (50-90). TUR was performed with 24 fr (Karl Storz) and 26 fr (Gyrus Acme) resectoscopes. Conventional energy source was used in patients using the 24 fr resectoscope and plasmaginetic energy source was used in the patients using the 26 fr resectoscope. Patients with urethral stricture detected during TUR were not included in the study. Uroflow velocity after TUR was evaluated by uroflowmetry. Patients with stenosis pattern were evaluated cystoscopically. RESULTS: A total of 301 patients underwent 331 TUR procedures. The mean age of the patients was 71.4 (50-90). 21 (6.9%) patients developed urinary urethral stricture after TUR. The mean age of the patients who developed urethral stricture after TUR was 71.7 (59-90) and the mean follow-up period of patients with urethral stricture was 5.5 (1-24) months. In our study, there was a strong correlation between the length of the stenosis and the number of internal urethrotomy (p <0.05). There was a strong relationship between the duration of resection and the development of stenosis (p = 0.01). Patients with urinary tract infection before the procedure had a higher risk of developing urethral stricture (p = 0.001). In our study, there was no statistically significant relationship between resectoscope diameter (p = 0.93), type of energy source used (p = 0.99), probe diameter (p = 0,9) and duration of catheter stay and urethral stricture development in the postoperative period (p = 0.79). CONCLUSIONS: The presence of urinary tract infection before the procedure must be assessed and it is very important to keep the resection time short during the procedure. |