Complicated male urethral strictures: presentation and management.

Among 104 patients with urethral strictures treated over a period of 3 years, sixty-five (63%) had complications such as inflammatory periurethral mass, watering-can perineum with discharging sinuses and fistulas, associated urethral calculi, periurethral abscesses and urethral diverticula. Seventy-four per cent of the strictures were of inflammatory origin and they predominated in the region of the bulbar urethra. Thirty-two patients were treated by visual internal urethrotomy, 11 had two-stage urethroplasty and 9 had perineal urethrostomy. Other methods of treatment and their results are discussed.