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

Atak, Mustafa; Tokgöz, Hüsnü; Akduman, Bülent; Erol, Bülent; Donmez, Ibrahim; Hancı, Volkan; Türksoy, Özlem; Mungan, N.A.

doi:10.1016/j.kjms.2011.06.013

Cited by 38 publications

(51 citation statements)

References 24 publications

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“…Recurrence rate Recurrence rate at 3, 6, and 12 months was evaluated in Atak et al [7] and Jabłonowski et al [9] studies, which had similar outcomes. At 3 months, the RR for recurrence was 0.55 (95% CI 0.18-1.66, p = 0.29), which favored the laser urethrotomy.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

“…Neither Atak et al [7] and Jabłonowski et al [9] nor Dutkiewicz and Wroblewski [10] reported complications during or after the procedure.…”

Section: Complicationsmentioning

confidence: 96%

“…They were analyzed with the CONSORT instrument to include those with an RCT design. After applying this instrument, 4 studies were finally selected, whose authors were Atak et al [7], Jain et al [8], Jabłonowski et al [9] and Dutkiewicz and Wroblewski [10] (Fig. 1).…”

Section: Study Selectionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of the Efficacy and Safety of Laser versus Cold Knife Urethrotomy in the Management of Patients with Urethral Strictures: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

et al. 2017

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The analysis of Qmax at 6 months post-intervention suggested a greater improvement in the laser urethrotomy group. A qualitative analysis showed that complications in both procedures were minor and infrequent. Conclusions: Laser urethrotomy has a lower recurrence rate at 6 and 12 months compared to cold knife urethrotomy. Complications in both procedures are minor and infrequent. Results should be interpreted cautiously, since they were evaluated only for a short term.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

“…Neither Atak et al [7] and Jabłonowski et al [9] nor Dutkiewicz and Wroblewski [10] reported complications during or after the procedure.…”

Section: Complicationsmentioning

confidence: 96%

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Evaluation of the Efficacy and Safety of Laser versus Cold Knife Urethrotomy in the Management of Patients with Urethral Strictures: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

et al. 2017

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“…There have been a few prospective randomized clinical trials in the recent past on comparative study of Holmium laser over conventional cold knife for internal urethrotomy. In a study, done by Atak et al .,[15] 51 male patients with single, iatrogenic, annular strictures of the urethra were randomly divided into two groups; 21 patients underwent urethrotomy with Ho: YAG laser and 30 patients underwent direct vision urethrotomy with cold-knife. The results obtained were analyzed and compared at 3 months, 6 months, 9 months, and 12 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of holmium laser versus cold knife in optical internal urethrotomy for the management of short segment urethral stricture

2014

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Objectives:Sachse cold knife is conventionally used for optical internal urethrotomy intended to manage urethral strictures and Ho: YAG laser is an alternative to it. The aim of this study was to evaluate the role of urethral stricture treatment outcomes, efficacy, and complications using cold knife and Ho: YAG (Holmium laser) for optical internal urethrotomyMaterials and Methods:In this prospective study included, 90 male patients age >18 years, with diagnosis of urethral stricture admitted for internal optical urethrotomy during April 2010 to March 2012. The patients were randomized into two groups containing 45 patients each using computer generated random number. In group A (Holmium group), internal urethrotomy was done with Holmium laser and in group B (Cold knife group) Sachse cold knife was used. Patients were followed up for 6 months after surgery in Out Patient Department on 15, 30 and 180 post-operative days. At each follow up visit physical examination, and uroflowmetry was performed along with noting complaints, if any.Results:The peak flow rates (PFR) were compared between the two groups on each follow up. At 180 days (6 month interval) the difference between mean of PFR for Holmium and Cold knife group was statistically highly significant (P < 0.001). Complications were seen in 12.22% of cases.Conclusion:Both modalities are effective in providing immediate relief to patients with single and short segment (<2 cm long) urethral strictures but more sustained response was attained with Cold knife urethrotomy.

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“…Laser types are Nd:YAG, argon and diode and Ho:YAG and KTP [7]. In a recent study, low-power holmium laser urethrotomy was compared with the cold knife technique [8]. The operative time of the laser group was shorter than that of the cold knife group (16.42 ± 8.04 vs. 23.83 ± 5.47 min; p < 0.001).…”

Section: Discussionmentioning

confidence: 99%

PlasmaKinetic™ versus Cold Knife Internal Urethrotomy in Terms of Recurrence Rates: A Prospective Randomized Study

Çeçen

Karadağ²,

Demir³

et al. 2014

Urol Int

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Objective: To evaluate the efficacy and outcomes of PlasmaKinetic™ urethrotomy against cold knife direct vision internal urethrotomy in terms of recurrence rates. Patients and Methods: A total of 136 male patients with urethral strictures were enrolled into the study. The patients were allocated to cold knife or PlasmaKinetic urethrotomy groups sequentially by using computer-generated numbers. Group A (PlasmaKinetic) and group B (cold knife) included 70 and 66 patients, respectively. All patients were reevaluated at the 3rd, 9th and 18th month postoperatively with uroflowmetry. Results: Group A patients had a postoperative 3rd-month maximum flow rate value of 16.09 ml/s, whereas this same parameter was 15.15 ml/s in group B (p < 0.05). The urethral stricture recurrence rate up to the 9-month period was statistically significant for group A (14%) compared with group B (30%). When we compared the recurrence rates of these groups from postoperative day 1 up to the 18th month, the results were 37% for group A and 33% for group B (p > 0.05). Conclusion: PlasmaKinetic urethrotomy provides a better recurrence-free rate during the early period compared with conventional cold knife therapy. Nevertheless, the outcome of the stricture did not change and fibrotic tissue reformed between the 9th and the 18th month.

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

Cited by 38 publications

References 24 publications

Evaluation of the Efficacy and Safety of Laser versus Cold Knife Urethrotomy in the Management of Patients with Urethral Strictures: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Evaluation of the Efficacy and Safety of Laser versus Cold Knife Urethrotomy in the Management of Patients with Urethral Strictures: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Evaluation of holmium laser versus cold knife in optical internal urethrotomy for the management of short segment urethral stricture

PlasmaKinetic™ versus Cold Knife Internal Urethrotomy in Terms of Recurrence Rates: A Prospective Randomized Study

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