Urethral Stenosis and Urethroplasty in Male Elderly

Abstract

Old age is defined as age 65 and older according to the World Health Organization. Urethral stenosis is a group of diseases with high morbidity in male society. Patients undergo surgery many times. In the elderly population, urethral stenosis develops especially secondary to diseases caused by aging. Stenosis occurs due to reasons such as benign prostatic enlargement, endoscopic urological manuplations, pelvic radiation therapy for rectal or prostate cancer, insertion of a probe. It is believed that reactions that develop at the cellular level due to hypogonadism in the elderly and the disadvantages caused by comorbidity, nutritional problems affect the course of urethral stenosis and the results of urethroplasty. Wound-related problems occur more often in the elderly. Researchers who share their urethroplasty experience with us express that all urethroplasty methods applied in young people can also be applied in the elderly population. But all interventions that will be made in the elderly population must be decided and implemented in detail. In this review, urethral stenosis, etiology, wound, elderly urethra, hypogonadism and their treatment were reviewed in the elderly. The number of published articles associated with elderly urethroplasty is quite small. There is a need for well-designed specialized research involving this age group.