Urethral Overdilatation in Females with Lower Urinary Tract Symptoms

Abstract

The long-term results of using the Otis urethrotome as a dilator only in females with lower urinary tract symptoms are reported. Out of 103 patients, 80% were symptomatically improved or cured at initial follow up and this was maintained at 18 months in 62% of cases. Optimal, long-term results (78% improvement or cure) were obtained in the subgroup of patients who had recurrent urinary tract infections. The results compare favourably with those reported following urethrotomy. The advantages of urethral overdilatation are discussed.

Contemporary Management of recurrent UTI in adult females

“…Similar results have been reported by others, with cure or improvement in around 75% of women. [35][36][37] The benefit seems independent of MSU results 38 or urethral calibre. 36 Therefore, it is likely that any positive effect of urethrotomy on RUTI is mediated through some mechanism other than improving flow or drainage.…”