Urethral Strictures at Baragwanath Hospital

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Abstract
The records of 258 patients operated on for urethral strictures over a 40 mo. period were reviewed. The young, economically active man was mostly affected and gonorrhea appeared to be the most frequent etiological cause. Internal urethrotomy was the commonest procedure performed (64% of cases). A single procedure was done in 70% of the patients; the remaining 30% had multiple operations. Of the internal urethrotomies, 88% were successful. Good results were seen with the other single-stage procedures; a high percentage of 2-stage urethroplasties returned with complications. The simplest, 1-stage procedure necessitating the shortest hospital stay should be the elective treatment of choice in these patients.