Recognition the Outcome of Direct Visual Internal Urethrotomy
10.3969/j.issn.1001-1420.2009.07.006
- VernacularTitle:直视下尿道内切开术的再认识
- Author:
ZHANG JIONG
1
;
XU YUEMIN
;
FU QIANG
;
SA YINGLONG
Author Information
1. 上海交通大学医学院附属第六人民医院
- Keywords:
urethral stricture;
endoscopy;
internal urethrotomy
- From:
Journal of Clinical Urology
2009;24(7):499-501
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the long-term results of direct visual internal urethrotomy (DVIU) and its value in clinical application. Methods:From January 2003 to January 2007, 65 patients suffered with urethral stric-ture accepted DVIU procedure. The data of follow-up were recorded in this study. The length of stricture ranged from 0.5 to 2 cm (mean 1.2 cm). Of the 65 men, 25 were found obvious urethra stricture in less than 1.0 cm, and the others 1.1 to 2.0 cm. Urethral ultrasound was conducted in 30 patients, which showed that 10 patients with thickness of scar around urethra were less than 1 cm, 20 patients more than 1 era, and 9 patients with both length and thickness of scar less than 1 cm. Results:Of the 65 patients, DVIU were conducted 72 times. All the operations were successful. 63 patients were followed-up from 24 to 60 months (mean 40.5 months). Opening procedures were performed in 48 patients (76.2%) due to recurrence. In 10 patients whose scar thickness around urethra less than 1 cm, only 1 patient was accepted opern operation. However, 18 of 20 patients with scar thick-ness more than 1 cm underwent opern operation. 9 patients with scar length and thickness less than 1 cm were completely successful. Conclusions: Patients whose scar length and thickness less than 1 cm may be optimal for DVIU. Repeated DVIU are unnecessary. Reasonable indication is related to the efficacy of this procedure.
