Urology Annals
About UA | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionLogin 
Urology Annals
  Editorial Board | Subscribe | Advertise | Contact
Users Online: 259   Home Print this page  Email this page Small font size Default font size Increase font size
ORIGINAL ARTICLE
Year : 2018  |  Volume : 10  |  Issue : 4  |  Page : 363-368

Management of urethral strictures: A nationwide survey of urologists in the Kingdom of Saudi Arabia


1 Department of Surgery, Urology division, College of Medicine, King Saud University, Riyadh, Saudi Arabia
2 Department of Obstetrics and Gynecology, King Saud University Medical City, Riyadh, Saudi Arabia
3 Department of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Raed M Almannie
College of Medicine, King Saud University, Riyadh 11427
Saudi Arabia
Login to access the Email id


DOI: 10.4103/UA.UA_58_18

PMID: 30386087

Rights and Permissions

Context: urethral strictures commonly occur and considered difficult to manage due to high recurrence rate and wide variety of management approach. Aims: This study aims to identify how urologists in Saudi Arabia manage new and recurrent urethral stricture cases and to investigate their opinions regarding urethroplasty. Settings and Design: A cross-sectional study (Online Survey) among urologists. Subjects and Methods: A nationwide survey of urologists registered with the Saudi Commission for Health Specialties was performed through a mailed questionnaire. A total of 603 urologists were selected from all five regions of Saudi Arabia, of whom 216 (35.8%) completed the questionnaire. Statistical Analysis Used: SPSS software version 23 was used for data entry and analysis. Results: Most urologists (40.3%) had treated 1–5 urethral strictures in the past year. The most common procedures used to manage urethral strictures were visual urethrotomy (82.4%), cystoscopy and dilatation (62.2%), and excision and primary anastomosis (20.8%). Minimally invasive procedures were used more frequently than any open urethroplasty techniques. Most urologists (63%) did not perform urethroplasty surgery, and 21.8% were not aware of any adult reconstructive urologists in Saudi Arabia. When used, however, the most commonly performed urethroplasty surgeries were excision and primary anastomosis, dorsal buccal graft augmented urethroplasty, and ventral buccal graft augmented urethroplasty. Conclusions: Minimally invasive methods are easy to perform and have good short-term outcomes. As such, they are more commonly used for the management of urethral strictures. On the other hand, urethroplasty surgeries are challenging procedures that require greater experience and skill.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed196    
    Printed2    
    Emailed0    
    PDF Downloaded49    
    Comments [Add]    

Recommend this journal