To Compare the Long-Term Outcomes of Surgical Techniques Used to Repair Urethral Structure at Different Sites in A Tertiary Care Hospital

Background: This research focused on assessing the long-term outcomes of different surgical methods used to repair urethral strictures located at various parts of the urethra and comparing their results. Methodology: Conducted as an observational study, it involved patients with urethral strictures visiting the General Surgery outpatient department at Sree Mookambikabika Institute of Medical Sciences. A total of 350 patients with strictures of different causes affecting various urethral segments were included. Detailed information for each patient, including history, comprehensive physical examination, and specific investigations to pinpoint the exact cause, location, and length of the stricture, was thoroughly evaluated. Results: The average age of patients was 38.5 years. In our community, most individuals with strictures are young to middle-aged males [20-45 years]. The chi-square value was 168.0455, and the p-value was < 0.00001, indicating significance at p < .05. Various reconstruction techniques were employed, such as tunica albuginea urethroplasty [TAU] and U-shaped prostatobulbar anastomosis [USPBA]. Conclusion: Over time, the approach to managing urethral strictures has evolved from simple dilatation, regardless of the stricture's location and length, to thorough investigation and definitive surgical procedures like urethroplasty. Among these patients, 60.5% were aged 20-45 years. Pelvic injuries accounted for 55.1% of the urethral strictures, with the membranous urethra being the most frequently affected segment. TAU and USPBA are the most commonly performed surgeries. Keywords: Surgical, urethral, stricture, and outcomes.