Internal Urethrotomy in the Management of Urethral Stricture II. Direct visual internal urethrotomy.
- Author:
Sang Jai JEONG
1
;
Jong Byung YOON
Author Information
1. Department of Urology, Busan National University School of Medicine, Busan, Korea.
- Publication Type:Original Article
- Keywords:
internal urethrotomy;
urethral stricture
- MeSH:
Catheters;
Cystostomy;
Dilatation;
Epididymitis;
Hemorrhage;
Male;
Postoperative Complications;
Tuberculosis;
Urethra;
Urethral Stricture*
- From:Korean Journal of Urology
1983;24(5):855-860
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Under the direct endoscopic manipulation, 15 internal urethrotomies in 14 cases with urethral stricture were applied at our department from March to August, 1983. Following results were obtained: 1. The cause of 14 cases hospitalized, were injury in 13 cases and tuberculosis in one. The sites of urethral stricture were anterior urethra in 8 cases and posterior urethra in 6. The managements before applying direct visual internal urethrotomy were dilatation in 1 case having tuberculous urethral stricture and initial cystostomy just after in 13 cases. In 3 cases of them, Otis internal urethrotomy and urethroplasty had performed in one previously. 2. The length of urethral stricture estimate on preoperative retrograde urethrogram was less than 0.5cm in 3 cases, 0.6 to 1.0 cm in 5, 1.1 to 2.0 cm in 2, and 2.1 to 3.0 cm in 4, all of them were less than 3.0 cm. 3. The periods of catheter indwelling postoperatively were less than 3 days in 6 cases, 4 to 7 days in 7 and more than 8 days in only one, predominantly less than 7 days in 13. 4. The maximum flow rates were excellent or improved postoperatively. Voiding cystourethrogram was more valuable than retrograde urethrogram in urethral stricture. 5. Epididymitis in 1 case and urethral bleeding in 2 as postoperative complications were present. These results implied that the visual internal urethrotomy was a valuable method as the management before deciding to perform urethroplasty.
