Endoscopic Urethrotomy versus Urethrotomy plus Nd-YAG Laser
in the Treatment of Urethral Stricture

Vicente, J.; Salvador, José; Caffaratti, Jorge

doi:10.1159/000463901

Cited by 54 publications

(21 citation statements)

References 8 publications

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“…Duration of urethral catheterization after endoscopic incision of urethral strictures is still a controversial issue. In the literature, this duration ranges from 24 hours up to 6 weeks [5,12,20]. But, postoperatively prolonged urethral catheterization is accepted as the most important risk factor for urinary tract infections [21].…”

Section: Discussionmentioning

confidence: 99%

Low‐power holmium:YAG laser urethrotomy for urethral stricture disease: Comparison of outcomes with the cold‐knife technique

Atak

Tokgöz

Akduman

et al. 2011

The Kaohsiung J of Med Scie

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In this prospective randomized clinical trial, we aimed to evaluate the safety and efficacy of endourethrotomy with holmium:yttrium-aluminium-garnet (HO:YAG) laser and compare the outcomes with the conventional cold-knife urethrotomy. Fifty-one male patients with single, iatrogenic, annular strictures of the urethra were randomly divided into two groups; 21 patients who underwent direct-vision endoscopic urethrotomy with Ho:YAG laser (15 W; 1,200-1,400 mJ; 8-12 Hz) at 12 o'clock position (laser group) and 30 patients who underwent direct-vision endoscopic urethrotomy with cold-knife incision at 12 o'clock position (cold-knife group). The results obtained were analyzed and compared at 3 months, 6 months, 9 months, and 12 months postoperatively by clinical evaluation, uroflowmetry, and retrograde urethrographies. Variables were compared among groups using Fisher's exact and Mann Whitney U tests. There were no differences between two groups in terms of patient age, preoperative Qmax value, stricture location, and length. Operative time was shorter in laser group (16.4 ± 8.04 minutes) when compared with cold-knife group (23.8 ± 5.47 minutes) (p<0.001). Recurrence-free rate at 3 months was similar between two groups (p=0.122). However, recurrence-free rates at 6 months, 9 months, and 12 months were significantly higher in laser group when compared with cold-knife group (p values were 0.045, 0.027, and 0.04, respectively). No intra- or postoperative complications were encountered. Use of Ho:YAG laser in the management of urethral stricture disease is a safe and effective method. In addition, it provides shorter operative time and lower recurrence rate when compared with the conventional technique.

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Section: Discussionmentioning

confidence: 99%

Low‐power holmium:YAG laser urethrotomy for urethral stricture disease: Comparison of outcomes with the cold‐knife technique

Atak

Tokgöz

Akduman

et al. 2011

The Kaohsiung J of Med Scie

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“…It is difficult to compare results of the reported series due to small numbers of patients, various types of laser energy used at different electrical power over time, and varied surgical techniques (simple incision vs circumferential ablation). The available relatively short-term follow-up (0-53 months) show success rates ranging from 36%-52% to 93%-100% [36][37][38] for neodymium:YAG; 69% to 90% for holmium:YAG [39,40]; 59% for KTP-532; and 30% for argon [41,42]. Overall, the available literature suggests similar results to "cold knife" urethrotomy.…”

Section: Endoscopic Laser Visual Urethrotomymentioning

confidence: 83%

“…Overall, the available literature suggests similar results to "cold knife" urethrotomy. Currently, laser OIU/DVIU does not appear to provide improved efficacy or durability over traditional OIU/DVIU [36]. However, long-term data are lacking and future developments may improve efficacy of this minimally invasive technique.…”

Section: Endoscopic Laser Visual Urethrotomymentioning

confidence: 99%

Minimally invasive treatment of urethral strictures in men

Latini

2008

Curr Bladder Dysfunct Rep

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“…However, despite laser being associated with a high success rate and a low recurrence rate, laser does not differ significantly from conventional methods in terms of long-term outcomes. 5,16 Postoperative self-catheterization is sometimes suggested as a method that can reduce the recurrence rate. However, one study found that it did not significantly reduce the recurrence of urethral stricture as compared to the control group.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Hyaluronic Acid and Carboxymethylcellulose in Preventing Recurrence of Urethral Stricture After Endoscopic Internal Urethrotomy: A Multicenter, Randomized Controlled, Single-Blinded Study

Chung

Kang

Choi

et al. 2013

Journal of Endourology

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Endoscopic Urethrotomy versus Urethrotomy plus Nd-YAG Laser in the Treatment of Urethral Stricture

Cited by 54 publications

References 8 publications

Low‐power holmium:YAG laser urethrotomy for urethral stricture disease: Comparison of outcomes with the cold‐knife technique

Low‐power holmium:YAG laser urethrotomy for urethral stricture disease: Comparison of outcomes with the cold‐knife technique

Minimally invasive treatment of urethral strictures in men

The Effects of Hyaluronic Acid and Carboxymethylcellulose in Preventing Recurrence of Urethral Stricture After Endoscopic Internal Urethrotomy: A Multicenter, Randomized Controlled, Single-Blinded Study

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