Endoscopic Internal Urethrotomy in the Management of Male Urethral Strictures

Introduction: Endoscopic internal urethrotomy is the standard surgical treatment for short strictures of the male urethra. The objective was to evaluate the outcomes of endoscopic internal urethrotomy in the management of male urethral strictures. Materials and methods: This was a retrospective, cross-sectional descriptive study conducted in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati over a 36-month period from January 1, 2022, to December 31, 2024. Results: We identified 40 patients who underwent endoscopic internal urethrotomy, representing a frequency of 6.2%. The mean age of our patients was 45.3 years, with a range from 16 to 90 years. The most frequent symptom was dysuria and pollakiuria, with a frequency of 42.5%. The diagnosis was confirmed in 75% of cases by UCR-M. The length of the strictures was 2 cm or less in 90% of cases. The stricture was located in the bulb of the urethra in 42.5% of cases. The etiology was predominantly iatrogenic in 52.5% of cases, followed by post-traumatic strictures in 22.5%. The average length of hospital stay was 3 days. The outcome was satisfactory in 87.5% of cases. Conclusion: Endoscopic internal urethrotomy is the standard treatment for short urethral strictures. It provides good functional and anatomical results.