E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research (Original Article) 


THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya.

Abstract
Introduction:Urethral stricture is characterized by decrease in urethral flow severe enough to cause acute urinary retention. Urethral strictures may develop after traumas to urethral epithelium and/or corpus spongiosum. Complication rates due to untreated urethral stricture are very high. Although various treatment methods have been described, the second most common method after urethral dilation in practice is cold-knife internal urethrotomy. The purpose of this study is to evaluate data of patients who were treated with internal urethrotomy in our clinic.
Methods:This study included patients who were treated with internal urethrotomy due to internal stricture between January 2011 and May 2015. Demographic, clinical, radiological, uroflowmetric (maximum and mean urine flow rate) and operative datas of the patients were retrospectively evaluated and recorded.
Results:This study included 155 patients with a mean (±standard deviation) age of 71.70 (±13.7). Etiologically the most common reason was urological surgical procedures (67%) and the most common stricture was seen at bulbomembranous urethra region (85.2%). Mean length of stricture was 5.4±2.4mm. Mean duration to remove the catheter was 1.8±1.3 days. Regional anesthesia was used in 67.7% of the patients. Our success rate was 78,1%. Comparison of maximum and mean urine flow rates pre and postoperatively revealed significant increases postoperatively.
Conclusion:Internal urethrotomy is a first line treatment method for urethral strictures because it is easily applied, has a low complication rate, and can be applied with local aenesthesia in high risk patients who are unable to take general anesthesia. Although recurrence rate is high, repeatability is its greatest advantage and it causes significant relief in patients with urethral strictures, but it must be kept in mind that definitive treatment is urethroplasty.

Key words: Endoscopy, internal urethrotomy, urethral stricture


 
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How to Cite this Article
Pubmed Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. Int J Surg Med. 2016; 2(2): 64-67. doi:10.5455/ijsm.20151024125741


Web Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. http://www.ejos.org/?mno=202146 [Access: March 31, 2020]. doi:10.5455/ijsm.20151024125741


AMA (American Medical Association) Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. Int J Surg Med. 2016; 2(2): 64-67. doi:10.5455/ijsm.20151024125741



Vancouver/ICMJE Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. Int J Surg Med. (2016), [cited March 31, 2020]; 2(2): 64-67. doi:10.5455/ijsm.20151024125741



Harvard Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya (2016) THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. Int J Surg Med, 2 (2), 64-67. doi:10.5455/ijsm.20151024125741



Turabian Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. 2016. THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. International Journal of Surgery and Medicine, 2 (2), 64-67. doi:10.5455/ijsm.20151024125741



Chicago Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. "THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE." International Journal of Surgery and Medicine 2 (2016), 64-67. doi:10.5455/ijsm.20151024125741



MLA (The Modern Language Association) Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya. "THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE." International Journal of Surgery and Medicine 2.2 (2016), 64-67. Print. doi:10.5455/ijsm.20151024125741



APA (American Psychological Association) Style

Ekrem Akdeniz, Mustafa Suat Bolat, Necmettin Sahinkaya (2016) THE ROLE OF OPTICAL INTERNAL URETHROTOMY FOR MALE URETHRAL STRICTURE. International Journal of Surgery and Medicine, 2 (2), 64-67. doi:10.5455/ijsm.20151024125741