Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Urethral stricture is narrowing of the urethra due to inflammation that\udresults in scarring. Prostatectomies for benign and malign prostatic\uddiseases are common surgical procedures among men mainly after\udtheir fifties. Urethral stricture or bladder neck contraction following\udtransurethral resection of the prostate (TURP) is seen in up to 19% of\udmen in different series. Urethral stricture after laser prostatectomy is less\udfrequently reported than TURP, which is about 3.6%. Open prostatectomy\udfor benign prostatic hyperplasia is the oldest technique, nonetheless, it\udis a reasonable alternative for patients with larger prostates. Urethral\udstricture is reported in 1.9-4.8% of patients after open prostatectomy.\udRadical prostatectomy (RP) is the most common surgical procedure done\udworldwide for the treatment of localized prostate cancer. Contracture\udof the bladder neck at the level of the anastomosis is a well-recognized\udcomplication after RP occurring in 0.4-32% of patients. Strictures are\udmainly treated with endoscopic procedures. Rarely, urethroplasty with\udbuccal mucosa grafts is needed for more complicated cases.\u