Therapeutic Effect of Internal Urethrotomy in Post-traumatic Complete Urethral Stricture.
- Author:
Young Joo KIM
1
;
Choong Hyun LEE
;
Sun Ju LEE
Author Information
1. Department of Urology, College of Medicine, Kyung Hee University, Seoul, Korea. sjlee@khu.ac.kr
- Publication Type:Original Article
- Keywords:
Internal urethrotomy;
Complete urethral stricture;
Complication
- MeSH:
Constriction, Pathologic;
Humans;
Recurrence;
Retrospective Studies;
Urethral Stricture*
- From:Korean Journal of Urology
2002;43(12):1061-1064
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Visual internal urethrotomy is a standard therapy for incomplete urethral stricture, and may also be a reasonable initial treatment for a complete urethral stricture of less than 1cm. However, it has not yet been determined which length is most suitable for an internal urethrotomy of a complete urethral stricture. To answer this question, we retrospectively assessed the success rate and complications of an internal urethrotomy as an initial treatment for a complete urethral stricture. MATERIALS AND METHODS: Between January 1991 and December 2000, an internal urethrotomy was performed on 28 patients for a complete urethral stricture. A primary successful result was defined as; a patient requiring only one operation, and a peak flow rate of more than 15ml/s. A secondary successful result was defined as; no recurrences within six months, and peak flow rate of more than 15ml/s.1,2 RESULTS: A primary successful result was seen in 73.3 and 15.4% of patients, with a urethral stricture of less than, and greater than 2cm, respectively. A secondary successful result was seen in 100 and 92.3% of the patients with a urethral stricture of less than (average number of operation: 1.4 times), and greater than 2cm (average number of operation: 2.8 times), respectively. CONCLUSIONS: In this study, we found that a visual internal urethrotomy might be considered, not only as an initial method of treatment when a complete urethral stricture is less than 2cm, but also as a possible method of treatment when a stricture is more than 2cm.
