Internal urethrotomy of urethral stricture under vision ? a five-year report

Matouschek, E

doi:10.1007/bf00261315

Cited by 42 publications

(21 citation statements)

References 9 publications

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“…2 In addition, Sachse (1974) revolutionized the treatment by optical urethrotomy. 3 Devine and colleagues (1980) in their guest editorial recommended treating partial urethral stricture by dilatation first and, if not relieved, then by visual cold knife internal urethrotomy.…”

Section: Introductionmentioning

confidence: 99%

Is anastomotic urethroplasty is really superior than BMG augmented dorsal onlay urethroplasty in terms of outcomes and patient satisfaction: Our 4-year experience

Choudhary

Jha

2015

CUAJ

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Introduction: We analyzed the outcomes of augmented buccal mucosa graft (BMG) dorsal onlay urethroplasty and anastomotic urethroplasty in the management of urethral stricture. Methods: Patients having a stricture length more than 2 cm were treated by augmented BMG dorsal onlay urethroplasty; patients with a stricture length less than 2 cm were managed by excision and end-to-end anastomotic urethroplasty. The postoperative retrograde urethrogram, micturating cystourethrogram, and uroflowmetry were compared to preoperative values. The postoperative subjective symptoms and complications were recorded and analyzed. Results: In total, 90 patients were included in this study. Forty-five patients had an average stricture length of 5.9 cm; they underwent BMG augmented dorsal onlay urethroplasty. Of these, 7 (15.55%) patients came with recurrence, while 38 (84.44%) were asymptomatic, in the average follow-up period of 32.8 months. The next 45 patients underwent excision of the stricture and end-to-end anastomosis. Of these, 6 (13.33%) failed on therapy and the remaining 39 (86.66%) were asymptomatic during the average follow-up period of 28.4 months. Conclusion:The technique of BMG dorsal onlay is easy to do, it is very reliable, has high success rate, less postoperative complications and better patient satisfaction compared to anastomotic urethroplasty. Our study has its limitations. Recurrent cases of urethroplasty and hypospadias were excluded from this study. Recurrent stricture cases were eliminated to overcome bias. Cases of hypospadias are still best treated by axial or random penile skin flap as BMG augmentation cannot create a long urethral tube. Based on our 4-year experience, we recommend BMG augmented urethroplasty long and short segment stricture of the urethra.

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Section: Introductionmentioning

confidence: 99%

Is anastomotic urethroplasty is really superior than BMG augmented dorsal onlay urethroplasty in terms of outcomes and patient satisfaction: Our 4-year experience

Choudhary

Jha

2015

CUAJ

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“…Optical urethrotomy is a widely accepted procedure, as the treatment of 80% for urethral strictures [1]. Optical urethrotomy is usually performed under general or spinal anesthesia, but sometimes local anesthesia can be used [3].…”

Section: Discussionmentioning

confidence: 99%

“…Optical urethrotomy is a widely accepted procedure, as the treatment in approximately 80% of patients with urethral strictures [1]. Repeated dilatation and open urethroplasty are other treatment procedures for urethral strictures [2].…”

Section: Introductionmentioning

confidence: 99%

Optical urethrotomy using topical anesthesia

Altinova

Turkan

2007

Int Urol Nephrol

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A series of 28 patients with urethral strictures less than 2 cm length underwent 32 visual optical internal urethrotomy under local urethral anesthesia with lidocaine. The procedure was completed successfully in 26 of 28 (92.9%) patients. Among these 25 of 26 (96%) patients reported mild pain. Visual analogue scale (VAS) was used for the evaluation of pain. All the patients were followed up for at least 6 months. Visual optical internal urethrotomy is a minimal invasive and successful procedure for short (<2 cm) strictures. Visual optical internal urethrotomy under local urethral anesthesia with lidocaine is a safe, comfortable and cost-effective procedure.

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“…17). To prevent this, some writers have left catheters of different materials in the urethra and for more or less prolonged periods (Engel, Wise and Whitaker, 1972), some have instilled steroids in the hope of preventing fibrosis (Matouschek, 1978) others have enjoyed a regime of autodilatation on the patient, instructing him to void against the resistance formed by pinching his urethra.…”

Section: Theinvestigation Of a Urethral Stricturementioning

confidence: 99%

Urethral stricture

Blandy

1980

Postgraduate Medical Journal

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Internal urethrotomy of urethral stricture under vision ? a five-year report

Cited by 42 publications

References 9 publications

Is anastomotic urethroplasty is really superior than BMG augmented dorsal onlay urethroplasty in terms of outcomes and patient satisfaction: Our 4-year experience

Is anastomotic urethroplasty is really superior than BMG augmented dorsal onlay urethroplasty in terms of outcomes and patient satisfaction: Our 4-year experience

Optical urethrotomy using topical anesthesia

Urethral stricture

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