ÓRGANO OFICIAL DE DIFUSIÓN DE LA SOCIEDAD MEXICANA DE UROLOGÍA
www.elsevier.es/uromx
Original article
Risk factors for developing urethral stricture in patients that underwent transurethral resection of the prostate P. Cruz García-Villaa,*, M. Schroede-Ugaldea, M. Landa Soler-Martínb and F. Mendoza-Peñac a
Department of Urology, Hospital Regional “Lic. Adolfo López Mateos”, ISSSTE, Mexico City, Mexico
c
Department of Urology Administration, Hospital Regional “Lic. Adolfo López Mateos”, ISSSTE, Mexico City, Mexico
KEYWORDS Stricture; Urethra; Transurethral resection of the prostate; Mexico.
Abstract Background: Transurethral resection of the prostate (TURP) is currently one of the most widely used treatments for managing prostatic hyperplasia. One of the risks of this procedure is the formation of urethral stricture, defined as a narrowing of the urethral lumen secondary to cicatrization. Different factors intervene in the formation of urethral narrowings in patients that undergo TURP. Aims: To determine the risk factors for post-TURP urethral stricture. Results: In accordance with the established criteria, a total of 63 patients were included in the study; 30 belonged to the group that developed stricture (group A) and 33 belonged to the group that did not (group B). The International Prostate Symptom Score (IPSS) was applied prior to the TURP; group A had a mean score of 19.03 ± 3.78 points and group B of 19.48 ± 5.42. The mean postoperative IPSS for group A was 16.27 ± 5.12 points and for group B was 8.88 ± 4.20 points. A total of 36.7% of the patients that developed stricture had preoperative Foley catheter placement, whereas 69.7% of the patients that did not develop stricture had a catheter at some point prior to surgery (p
