Double-face urethroplasty in patients with obliterative bulbar strictures post-transurethral resection of prostate mid-term outcomes in high-volume referral center

Abstract Object Incidence of Post TURP strictures is between 2.2% and 9.8%. Stricture commonly occurs within the first 6 months. Our objective is to assess the outcomes of patients with obliterative strictures post-TURP (transurethral resection of prostate)that underwent a double-face urethroplasty. Methods This is a single-center prospective study of 17 patients with obliterative proximal bulbar stricture post-TURP who underwent double-face graft urethroplasty by two surgeons between Jan 2014 and Jan 2020. We defined post-TURP obliterative strictures as those patients who presented with complete or almost complete obstruction of the urethral lumen and who have had a history of acute urine retention. We have excluded patients with bladder neck contracture. Primary outcome was treatment success, defined as the no need for further treatments. Secondary outcome was post-urethroplasty continent rate. Results Seventeen patients were included in the study with median age of 66 years (interquartile range 40–77 years); median time of follow-up was 24 months (interquartile range 12–84 months); median stricture length was 4 cm (interquartile range 2–6 cm). Of the 17 patients, 15 were successful (88.2%). All patients were continent after urethroplasty. Conclusion With mid-term follow-up, treatment of obliterative proximal bulbar strictures with double-face buccal mucosa graft is a safe and effective procedure. Obliterative proximal bulbar strictures merit double face urethroplasty with high-rate success and functional outcomes.