The problems of penile urethroplasty with particular reference to 2-stage reconstructions

Purpose: We evaluate the anecdotal high revision rate of 2-stage urethroplasty. Materials and Methods: The short-term revision rates after 1-stage (139 cases) and 2-stage (103) urethroplasties were compared. Results: There were 4 revisions after 1-stage urethroplasty (4 of 139, 3%) and all involved the penile urethra (20%). The revision rate was 37.8% after stage 1 and 25.3% after stage 2 and of 2-stage urethroplasty 85%, involved the penile urethra. Conclusions: Although 2-stage has a significantly lower re-stricture rate than 1-stage urethroplasty for complex strictures in the penile urethra, it does so at the expense of a significantly higher revision rate particularly of the penile urethra.