Internal urethrotomy versus plasmakinetic energy for surgical treatment of urethral stricture

Özcan, Levent; Polat, Emre Can; Ötünçtemur, Alper; Önen, Efe; Cebeci, Oğuz Özden; Memik, Ömür; Voyvoda, Bekir; Ulukaradağ, Emre; Özkan, Tayyar Alp; Şener, Murat; Özbek, Emin

doi:10.4081/aiua.2015.2.161

Cited by 8 publications

(5 citation statements)

References 11 publications

(15 reference statements)

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“…At the 12-month follow-up, Cecen [ 29 ] and Ozcan [ 30 ] considered that patients who did not complain of voiding difficulties and had a maximum urine flow rate > 12 mL/s were considered free from recurrence. On the other hand, Atak [ 9 ] and Jhanwar [ 24 ] considered patients without voiding complaints and a maximum urine flow rate > 10 mL/s as not having recurrence after the surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of laser versus cold knife visual internal urethrotomy in the treatment of urethral stricture (stricture length <2 cm): A systematic review and meta-analysis

Chen,

Qin,

Wang

et al. 2024

Medicine

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Purpose: There is still controversy regarding the safety and efficacy of cold knife visual internal urethrotomy and laser incisions for the treatment of urethral stricture. This study aims to compare the results of postoperative long-term and short-term maximum urinary flow rates (Qmax), surgical time, postoperative complications, and 1-year recurrence rates between the cold knife and laser surgery. Methods: We searched databases including Embase, PubMed, Cochrane, and Clinical Trials.gov to identify relevant literature published in English up to September 2023. We used Stata to compare various parameters. This study is registered in PROSPERO (CRD42023471634). Nine comparative experiments were conducted, involving a total of 659 participants. Results: The laser group showed significantly better results compared to the cold knife group in terms of postoperative 12-month maximum urinary flow rate (mean differences [MD] 2.131; 95% [1.015, 3.249], P < .0001), postoperative bleeding (RR 0.277, 95% [0.079, 0.977], P = .046), and 1-year recurrence rate (RR 0.667, 95% [0.456, 0.976], P = .037). However, there were no significant differences in postoperative 6-month and 3-month Qmax, surgical time, urethral leakage complications, overall complications, and Visual Analog Scale (VAS) scores. Conclusion: The current study results suggest that laser urethral incision has greater advantages in the long-term (12 months), 1-year recurrence rate, and bleeding complications compared to cold knife urethral incision in the treatment of urethral stricture (<2 cm). Therefore, laser urethral incision may be a better choice for patients with urethral stricture.

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Section: Discussionmentioning

confidence: 99%

Comparison of laser versus cold knife visual internal urethrotomy in the treatment of urethral stricture (stricture length <2 cm): A systematic review and meta-analysis

Chen,

Qin,

Wang

et al. 2024

Medicine

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“…In their studies, Cecen et al, [ 25 ] and Ozcan et al, [ 26 ] found that the intervention successes in the absence of any voiding difficulties and with the Q-max greater than 12 mL/s. However, other studies reported an effective operation with Q-max greater than 10 mL/s in patients without voiding difficulty.…”

Section: Discussionmentioning

confidence: 99%

Comparative study between thulium laser and cold knife visual urethrotomy for treatment of short bulbomembranous urethral stricture

et al. 2022

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Introduction:The classical way to treat urethral stricture is the direct vision cold knife internal urethrotomy (DVIU). Along with advances in laser technology, laser urethrotomy is widely used, such as neodymium-doped yttrium aluminum garnet, argon, potassium titanyl phosphate, and thulium laser. We aimed to compare thulium laser urethrotomy (TLU) and cold knife visual urethrotomy (CKVU) in terms of short bulbomembranous urethral stricture management.Materials and methods: This prospective interventional study was conducted for 24 months, from January 2018 to January 2020, on 60 patients with primary short bulbo-membranous urethral stricture who came to the

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“…Another type of energy for IU is plasmakinetic. There are several studies in the literature about the treatment of urethral strictures with plasma kinetics [ 25 , 26 ]. Until now, there is no clear criterion to assess success or failure after IU.…”

Section: Discussionmentioning

confidence: 99%

“…[ 25 ] and Ozcan at al. [ 26 ] deemed the intervention successful in their studies when the patient did not complain of any voiding difficulty and the Qmax was >12 mL/s. Other studies were accepted as successful if the patient did not report any voiding difficulty, and the Qmax was greater than 10 mL/sec [ 5 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of cold-knife optical internal urethrotomy and holmium:yag laser internal urethrotomy in bulbar urethral strictures

Şeker

et al. 2018

CEJU

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IntroductionTo compare the results of cold-knife optical internal urethrotomy (OIU) and Holmium:YAG laser internal urethrotomy (HIU) in primary bulbar urethral strictures.Material and methodsA total of 63 patients diagnosed with primary bulbar urethral stricture between August 2014 and September 2015 were assigned to the OIU (n = 29) and HIU (n = 34) groups. The demographic variables, biochemistry panels, and preoperative and postoperative uroflowmetry results including the maximum flow rate (Qmax) and mean flow rate (Qmean) values, retrograde urethrography, and diagnostic flexible urethroscopy findings were recorded prospectively. Demographic features and preoperative values were not statistically different between groups (p >0.05). Mean surgical times were 18.4 ±2.3 min for OIU and 21.9 ±3.8 min for HIU groups, which was statistically significant (p <0.05). There was no significant difference in complication rates in both groups (p = 0.618).ResultsPostoperative Qmax values were increased in both groups even though postoperative Qmax values were not significantly different between the two groups in the short- and long-term results at 3, 6, and 12 months (p >0.05). There was no recurrence in the first 3 months in either group. The urethral stricture recurrence rate up to month 12 was not statistically significant for the OIU group (n = 6, 20.7%) as compared to the HIU group (n = 11, 32.4%; p = 0.299).At follow-up, the SFR and IFR was 96% and 88% at 3-months, and 82% and 71% at 12-months, respectively (p <0.001). While almost three-quarters of patients were stone and infection free at 12-months, the majority of those with stones recurrence also had recurrence of their UTI.ConclusionsHIU is an alternative method to OIU, and it has similar success rates in the treatment of short segment bulbar urethral strictures.

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Internal urethrotomy versus plasmakinetic energy for surgical treatment of urethral stricture

Abstract: We believe that plasmakinetic surgery is better method than the cold knife technique for the treatment of urethral stricture.

Cited by 8 publications

References 11 publications

Comparison of laser versus cold knife visual internal urethrotomy in the treatment of urethral stricture (stricture length <2 cm): A systematic review and meta-analysis

Comparison of laser versus cold knife visual internal urethrotomy in the treatment of urethral stricture (stricture length <2 cm): A systematic review and meta-analysis

Comparative study between thulium laser and cold knife visual urethrotomy for treatment of short bulbomembranous urethral stricture

Comparison of cold-knife optical internal urethrotomy and holmium:yag laser internal urethrotomy in bulbar urethral strictures

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