Transurethral 2-μm laser in the treatment of urethral stricture

Guo, Feng; Lu, Hua; Wang, Guang Jian; Tan, Shan Feng; He, Xiang Fei; Wang, Jian Ming; Liu, Hong Jun; Zhu, Wen

doi:10.1007/s00345-009-0454-5

Cited by 12 publications

(2 citation statements)

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“…Most urologists mistakenly believed that a ‘reconstructive ladder’ approach existed, in which urethroplasty was considered only after failure of successive attempts at endoscopic therapies. Some urologists considered all incidences of urethral strictures as indications for DVIU, regardless of the cause, location and length of the strictures . Unfamiliarity with the literature and inexperience with urethroplasty surgery have made the use of endourological surgeries inappropriately common.…”

Section: Discussionmentioning

confidence: 99%

Changing trends in the causes and management of male urethral stricture disease in China: an observational descriptive study from 13 centres

Song

Wang

et al. 2015

BJU International

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The data from 4 764 men with urethral stricture disease who underwent treatment at 13 medical centres in China between 2005 and 2010 were retrospectively collected. The databases were analysed for the possible causes, site and treatment techniques for the urethral stricture, as well as for changes in the causes and management of urethral strictures. ResultsThe most common cause of urethral strictures was trauma, which occurred in 2 466 patients (51.76%). The second most common cause was iatrogenic injures, which occurred in 1 643 patients (34.49%). The most common techniques to treat urethral strictures were endourological surgery (1 740, 36.52%), anastomotic urethroplasty (1 498, 31.44%) and substitution urethroplasty (1 039, 21.81%). A comparison between the first 3 years and the last 3 years showed that the constituent ratio of endourological surgery decreased from 54% to 32.75%, whereas the constituent ratios of anastomotic urethroplasty and substitution urethroplasty increased from 26.73% and 19.18% to 39.93% and 27.32%, respectively (P < 0.05). ConclusionsDuring recent years, there has been an increase in the incidence of urethral strictures caused by trauma and iatrogenic injury. Endourological urethral surgery rates decreased significantly, and open urethroplasty rates increased significantly during the last 3 years.

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Section: Discussionmentioning

confidence: 99%

Changing trends in the causes and management of male urethral stricture disease in China: an observational descriptive study from 13 centres

Song

Wang

et al. 2015

BJU International

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“…Bis dato liegen in der Literatur keine prospektiv randomisierten Studien vor, in denen der Uroflow als Parameter zu Beurteilung des Therapieerfolgs beschrieben wird [9]. Guo et al [14] zeigten bei 192 Patienten, die einer Laserurethrotomie unterzogen wurden, einen postoperativen Uroflow von 16,7±3,1 ml/s. Pansadoro u. Emiliozzi [15] In einem Literaturreview von Barbagli u. Lazzeri ( [18]; mit Auswertung von über 300 Publikationen) stellt die Urethrotomie die am häufigsten verwendete Technik in der Behandlung kurzstreckiger Strikturen dar.…”

Section: Diskussionunclassified

Die endoskopische Behandlung der Harnröhrenstriktur

Neto

Tschirderwahn

Rose

et al. 2010

Urologe

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Great progress has been seen in the treatment of urethral strictures since the first endoscopic urethrotomy was performed in 1893 by Felix Martin Oberländer in Dresden, Germany. With the introduction of endoscopic laser therapy and the variety of urethral reconstruction methods other ways to treat this important urologic entity became available. Despite this progress, urethrotomy still represents the preferred treatment concept for primary, short and bulbar urethral strictures. In this study we performed a 2-year retrospective analysis of 20 patients undergoing primary endoscopic urethrotomy by single bulbar or penile narrowing. A high incidence of recurrence was seen in 70% of the patients. Nevertheless, direct vision urethrotomy represented a safe and effective transitory method to treat these patients. Moreover, 80% of the patients preferred, in cases of recurrence, a repeated urethrotomy as the treatment of choice. Although the long-term results evidence high relapse rates after the first and second procedures, there have been no sufficient data in the literature which support the use of other methods. Furthermore, primary endoscopic management of urethral strictures remains a simple, safe, and cost-effective procedure that should be indicated before more invasive approaches are taken to provide relief to these patients from this limiting problem.

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