Endourethral surgery for urethrostenosis and urethratresia (report of 364 cases)

Objective To evaluate the endourethral surgery for urethrostenosis and urethratresia. Methods 364 patients with an average age of 43 suffered from urethrostenosis or urethratresia 1 month to 23 years were treated by endourethral surgery,such as internal urethrotomy,transurethral scar resection.The average length of the stricture or atresia was 2.2 cm.Some experiences were summed up. Results Of the 364 cases,the outcome was satisfactory in 343 ( 94.23%).Endourethral surgery was carried out twice for 34 patients and thrice for 18 with successful outcome, 20 patients required open surgery because of urethral angulation caused by pelvic fracture.268 patients have been followed up for 4～138 months,satisfactory voiding has been achieved. Conclusions Endourethral surgery is a safe and efficient treatment for urethrostenosis and urethratresia.It should be considered the treatment of first choice for major urethrostenosis and urethratresia.