Intraoperative breakage of Sachse’s knife blade: a rare complication of optical internal urethrotomy (one case managing experience)

Kanodia, Gautam; Sankhwar, Satyanarayan; Jhanwar, Ankur; Bansal, Ankur; Kumar, Manoj; Gupta, Ashok

doi:10.1590/s1677-5538.ibju.2016.0081

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The complications of CIU were infection, haematuria, pain and recurrence, and there was a report that the knife blade broke [17]. Our study found that the surgical complications of SUD were not signi cantly higher compared to those of CIU.…”

Section: Discussioncontrasting

confidence: 43%

An Endoscopic treatment for male short segment posterior urethral stricture

Pang

Zhu

et al. 2022

Preprint

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Objective To introduce a new sequential sheath urethral dilatation (SSUD) method to treat male short segment posterior urethral stricture (MSS-PUS). Methods 67 male patients who had a MSS-PUS were enrolled and randomly assigned to one of two groups: group A (SSUD) and group B (Cold knife internal urethrotomy, CIU). Baseline information, including age, diabetes status, location of urethral stricture, preoperative ultrasound post-void residual (PVR) measurement, preoperative maximum urinary flow rate (Qmax), and preoperative International Prostate Symptom Score (IPSS) were collected and compared between groups. The operation time, postoperative length of hospital stay, indwelling catheter size, success rate, operative complications, recurrence, postoperative PVR, Qmax, and IPSS were evaluated and compared between the two groups. Results There was no significant difference in the baseline data, postoperative data, the complication, recurrence rates, postoperative length of hospital stay and postoperative PVR measurements between the two groups (p > 0.05), but the difference in immediate success rate, operative time, indwelling catheter size, postoperative Qmax and postoperative IPSS was statistically significant (p < 0.05). Conclusion We introduced a new SSUD method to treat MSS-PUS. The immediate success rate, operation time, and surgical effect were better than the CID procedure.

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Section: Discussioncontrasting

confidence: 43%

An Endoscopic treatment for male short segment posterior urethral stricture

Pang

Zhu

et al. 2022

Preprint

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“…Although considered a safe and minimally invasive procedure, DVIU is not free from complications, including urethral hemorrhage, false passage, perineal hematoma, infections, meatal stenosis, and rectal perforation. According to literature review, only two cases of single intraoperative breakage of Sachse's knife blade have been reported, 6 , 7 but no previous evidence of a double intracavernous split emerged and we wanted to provide the best management of a complication that apparently may seem complex to deal with.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Double Intracavernous Breakage of Sachse's Knife Blade: Management of a Rare Complication Performing Direct Vision Internal Urethrotomy

Benincasa

Saita

Pinto³

et al. 2017

Journal of Endourology Case Reports

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Background: Although the breakage of a Sachse's knife blade is already a rare event while performing optical internal urethrotomy, a double failure appears to be at the same time a unique and a challenging complication to manage since no reference has emerged from literature review.Case Presentation: A male patient, 80 years of age, underwent retreatment of recurrent urethral stricture that occurred after transurethral resection of the prostate. The latter was complicated by severe intraoperative urethrorrhagia; this is the reason he was transferred from another institution where at first a suprapubic cystostomy was carried out, followed by urethral recanalization through internal urethrotomy and finally he underwent intracavernous Sachse's knife blade discharge. Preoperative evaluation included combined retrograde and voiding urethrography and CT to evaluate the complete resolution of the urethral stenosis and to establish the correct location of the blades inside the corpus cavernosum. A transperineal approach to the left corpus cavernosum was carried out with manageable removal of the foreign body and postoperative assessment showed no early considerable complications for the patient.Conclusion: To our knowledge, this is the first case of double breakage of Sachse's knife blade performing optical internal urethrotomy reported in literature. Although it may appear to be an easy procedure, close attention to its execution must always be paid to prevent major complications. A transperineal approach has proven to be effective and safe without creating any further outcomes to the patient.

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Intraoperative breakage of Sachse’s knife blade: a rare complication of optical internal urethrotomy (one case managing experience)

Cited by 2 publications

References 6 publications

An Endoscopic treatment for male short segment posterior urethral stricture

An Endoscopic treatment for male short segment posterior urethral stricture

Double Intracavernous Breakage of Sachse's Knife Blade: Management of a Rare Complication Performing Direct Vision Internal Urethrotomy

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