A Comparative Study of Optical Internal Urethrotomy Alone With Optical Internal Urethrotomy Plus Steroid for Anterior Urethral Stricture Disease

Abstract

BACKGROUND Urethral stricture is a relatively common urological disorder, which every urologist encounters in his regular urological practice. They pose a significant problem from both clinical and economic point of view. The aetiology of stricture of urethra has changed over time. Trauma has taken over infection as the commonest cause. The management of stricture also has evolved over the times. Despite the availability of various options for the treatment of stricture urethra, internal urethrotomy has remained a popular option among the urologists in view of its simplicity, safety and shorter learning curve. Aims and Objectives-To compare the outcome of optical internal urethrotomy between OIU alone and OIU with steroid injection at the site of stricture by means of recurrence rate and time duration for recurrence and symptom improvement in stricture patients. MATERIALS AND METHODS This is a prospective, randomised, controlled study by which comparing the outcome of optical internal urethrotomy alone with urethrotomy with steroid injection in the management of stricture disease in males is done. The study done during the period of

Outcome of Internal Optical Urethrotomy in Combination with Corticosteroids Injection in Recurrent Anterior Urethral Strictures

“…Taking into account not to advise CISC to the patients, the results of the intended study shows that internal optical urethrotomy along with the combination of intralesional triamcinolone injection delays the time of recurrence of urethral stricture significantly. Inspite of the benefits of these, steroids comes on top due to its cost effectiveness, minimum side effects and also its widespread usage [17]. Research efforts have primarily focused on decreasing the recurrence of stricture after internal urethrotomy and constructing tissue-engineered urethral substitutes to improve clinical outcomes of urethroplasty surgeries [18].…”