Urology Annals

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 6  |  Issue : 4  |  Page : 321--324

Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control


Sükrü Kumsar, Hasan Salih Saglam, Osman Köse, Salih Budak, Oztug Adsan 
 Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey

Correspondence Address:
Sükrü Kumsar
Sakarya EAH, Uroloji Klinigi, Sakarya
Turkey

Objectives: The purpose of this study is to investigate the association of glycemic control prior to TUR-P and postoperative urethral stricture development. Materials and Methods: Of the 168 patients with a diagnosis of urethral stricture, who underwent internal urethrotomy in our hospital were retrospectively analyzed for this study. 98 patients who underwent monopolar TUR-P in our hospital previously and were developed urethral stricture were divided into two groups as diabetic and nondiabetic. Based on their HbA1c concentrations, diabetics were allocated to two groups with good (HbA1c ≤ 6.5%) or poor (HbA1c > 6,5%) glycemic control. Time to internal urethrotomy and the other operative parameters were compared among groups. Results: Time to internal urethrotomy after TUR-P was significantly shorter in diabetic patients with poor glycemic control than Group 1 and Group 2 (P = 0,02, P = 0,012) but no significant difference was found between Group 1 and Group 2 (P = 0,368). There was no significant difference in the mean diagnosed and resected prostate wight among groups There was no significant difference in the mean resection time and the mean time to urethral catheter removal among groups. Conclusions: Especially in poor glycemic control patients, urethral stricture development was seen in the early period after TUR-P. For this reason, in the elective TUR-P scheduled poor glycemic controlled patients the operation should be done after glycemic control.


How to cite this article:
Kumsar S, Saglam HS, Köse O, Budak S, Adsan O. Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control.Urol Ann 2014;6:321-324


How to cite this URL:
Kumsar S, Saglam HS, Köse O, Budak S, Adsan O. Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control. Urol Ann [serial online] 2014 [cited 2019 Nov 18 ];6:321-324
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=4;spage=321;epage=324;aulast=Kumsar;type=0