Internal urethrotomy with hydraulic urethral dilatations.

The Journal of Urology (Impact Factor: 3.75). 11/1971; 106(4):553-6.
Source: PubMed
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    ABSTRACT: As a treatment for male urethral stricture, internal urethrotomy (IU) has the advantages of ease, simplicity, speed and short convalescence. Various modifications of the single cold-knife incision in the 12 o'clock position have been proposed, but there are no prospective, randomized studies to prove their claims of greater efficacy. IU can be performed as an outpatient procedure using local anesthesia, with an indwelling silicone catheter for 3 days after the procedure. Complications of IU are usually minor, including infection and hemorrhage. The reported success rate of IU varies, mainly because of differences in the definition of success and the duration of follow-up. Strictures can recur, usually within 3-12 months of IU. There are several known risk factors for recurrence: a previous IU, penile and membranous strictures, long (>2 cm) and multiple strictures, untreated perioperative urinary infection and extensive periurethral spongiofibrosis. Repeated IU might be useful in patients who have a stricture recurrence more than 6 months after the initial procedure, but repeat IU offers no long-term cure after a third IU, or if a stricture recurs within 3 months of the first IU. Such patients should be offered urethroplasty. Repeated IU followed by long-term self-dilation is an alternative option for men with severe comorbidity and limited life expectancy, or those who have failed previous urethroplasty. Overall, IU has a lower success rate (+/-60%) than urethroplasty (+/-80-90%), but if used for selected strictures, the success rate of IU could approach that of urethroplasty.
    Nature Clinical Practice Urology 11/2005; 2(11):538-45. · 4.07 Impact Factor
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    ABSTRACT: This report deals with experience with the method of transurethral incision of urethral strictures under vision in 547 patients involving 662 internal urethrotomies between Nov. 1972 and Aug. 1977. Follow-up examinations showed good results in 79, 3% of the patients. Transurethral incision of urethral strictures can be recommended as the method of choice for the treatment of urethral strictures.
    Urological Research 02/1978; 6(3):147-50. · 1.59 Impact Factor
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    ABSTRACT: Zusammenfassung Die seit 1971 bekannte endoskopische Urethrotomie nachSachse wird nach prä-, intra-und postoperativen Gesichtspunkten dargestellt. Die geringste Übereinstimmung herrscht bei der postoperativen Nachbehandlung. Die Resultate zeigen eine Besserung bei 64% aller operierten Patienten. Ein prä-und postoperativ bakteriologisch negativer Harnbefund wird als wesentlicher Faktor zur Senkung der Rezidivhäufigkeit angesehen.
    European Surgery-acta Chirurgica Austriaca - EUR SURG. 01/1980; 12(4):96-99.