Endoscopic Urethrotomy: Does it Live Up to its Promises?

Gibod, L. Boccon; Portz, Benoit Le

doi:10.1016/s0022-5347(17)53849-5

Cited by 69 publications

(19 citation statements)

References 12 publications

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“…In the past, the majority of urethral strictures (95%) were treated by internal urethrotomy [3] with a recurrence rate of up to 75% [15] that is similar to ours. Recently, more reconstructive surgery has been advised and SUG has been found helpful in showing which patients might benefit [9,16,20,21].…”

Section: Discussionsupporting

confidence: 87%

“…It has been reported that SUG provides more accurate measurement of stricture length [4,5,6,7,8,9,10], and gives additional information about the depth and density of peri-urethral changes [3,4,5,8] not provided by RUG [11,12], which is helpful when treatment is chosen [13,14,15,16]. In contrast, RUG has been reported to underestimate stricture length [4,5,6,7,8,9,16], and is presumed to be responsible for inappropriate treatment selection and recurrence.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of radiographic and sonographic urethrography for assessing urethral strictures

Peskar¹,

Perovič

2003

Eur Radiol

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The aim of this study was to compare radiourethrography (RUG) and sonourethrography (SUG) for assessment of urethral strictures and to evaluate whether RUG underestimates stricture length, as has been reported. Fifty-one men with suspected urethral strictures were evaluated by both methods performed consecutively. Stricture lengths and diameters measured by RUG were significantly greater (mean 22%, 30%) than those measured by SUG because of radiographic magnification. Both methods, however, detected a similar percentage lumen reduction and similarly graded stricture severity. Equally significant non-correlation between both methods for length measurements in the bulbar and penile urethra ( p<0.001, R(2)=0.33 and 0.34, respectively) supported radiographic magnification. Previous inaccuracies appear to relate to RUG measurements of the central tight stricture (mean 44% of the entire length in our series), not the full stricture length. Use of sonographic contrast medium intra-urethrally improved the definition of long narrow strictures. The SUG gave information about peri-urethral tissues not provided by RUG. Once radiographic magnification was taken into account, there were no major differences in the assessment of urethral strictures by both methods. With correct measurement methods, RUG does not underestimate stricture length. For full assessment, the combination of RUG and SUG, which gives information about peri-urethral disease, is optimal in many patients.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Comparison of radiographic and sonographic urethrography for assessing urethral strictures

Peskar¹,

Perovič

2003

Eur Radiol

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“…Sachse [ 1 ] reported a success rate of 80% and other authors report similar excellent results [2][3][4][5], In a pre vious study on the results of the operation, 67% of our patients were reasonably satisfied, although persistent strictures could be demonstrated in 50% of the cases [6]. Recently, similar results have been reported by other authors [7], The significance of the duration of the post operative treatment with indwelling catheter is uncertain. The aim of this prospective, consecutive, randomized study is to determine whether long-term postoperative catheter treatment yields better results of the operation.…”

supporting

confidence: 79%

Recurrency after Optical Internal Urethrotomy

R¹,

A²

1984

Urol Int

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“…Rate o f success after internal visual urthrotomy is reported as being up to 80% [2,3] in early publications. Later investigations found a lower rate o f long-term success [4][5][6][7] and some reported a recurrence rate o f up to 82% [7].…”

Section: Introductionmentioning

confidence: 99%

Transurethral Laser Urethrotomy with Argon Laser: Experience with 900 Urethrotomies in 450 Patients from 1978 to 1993

Miller²,

Hd³

et al. 1995

Urol Int

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From April 1978 to September 1993, the Department of Urology of Giessen Medical School used laser urethrotomy as standard endoscopic treatment in benign urethral strictures. In this period, 900 urethrotomies were performed in 450 patients. The majority of strictures treated were iatrogenic (65%), located in the posterior urethra (62.8%) and classified as short ( < 1 cm) (71%). Argon laser urethrotomy was carried out in the 12° position according to the technique of internal optical urethrotomy. An indwelling transurethral catheter was left for 48 h after urethrotomy. Uroflowmetry after argon laser urethrotomy revealed the efficacy of the method. A retrospective analysis of the operations was performed. Analysis showed that recurrence appeared on average after 15.2 months (range 1–39) in up to 70.1%. Nearly 50% of recurrence was evident within 1 year following surgery. Recurrence was independent of location, length and etiology of the stricture. We conclude according to our data that argon laser urethrotomy is technically feasible. Due to the high recurrence rate the method offers no advantage over conventional internal optical urethrotomy.

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Endoscopic Urethrotomy: Does it Live Up to its Promises?

Cited by 69 publications

References 12 publications

Comparison of radiographic and sonographic urethrography for assessing urethral strictures

Comparison of radiographic and sonographic urethrography for assessing urethral strictures

Recurrency after Optical Internal Urethrotomy

Transurethral Laser Urethrotomy with Argon Laser: Experience with 900 Urethrotomies in 450 Patients from 1978 to 1993

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