Remarks on the treatment of urethral stricture by combining internal and external urethrotomy

read before the Lancashire and Cheshire Branch of the British Medical Association
  • 16 Pages
  • 2.27 MB
  • 6264 Downloads
  • English
by
John Bale... , London
Urethra -- Stricture., Urethro
Statementby Reginald Harrison....
The Physical Object
Pagination16 p. ;
ID Numbers
Open LibraryOL18870403M

Remarks on the Treatment of Urethral Stricture, by Combining Internal and External UrethrotomyCited by: 2. The results of internal urethrotomy with 6 weeks of postoperative catheter drainage and antimicrobial therapy in the treatment of urethral strictures in 28 patients are presented.

Satisfactory results were obtained in 68 per cent of the by: Treatment of anterior urethral strictures usually starts with minimally invasive procedures, such as urethral dilatation or internal urethrotomy. The popularity of these methods is based on the simple application, the low complication rate, and the fact that most general urologists do Cited by: 3.

The surgical treatment of urethral stricture remains controversial, although most practitioners consider urethroplasty the gold standard.

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14 Others consider internal urethrotomy and even urethral dilations as valid and important treatment options. 13, 15 The results obtained in our study make us favour urethroplasty as the initial treatment when the length of the stricture is cm, and we definitely recommend urethroplasty.

The urethral meatus must be adequate, as it will stenose quite readily unless it is cared for properly. MATERIALS AND METHODS The records of 71 patients who underwent cystoscopy, urethral calibration and internal urethrotomy for urethral strictures during a Cited by: Treatment of Recurrent Urethral Stricture by Internal Urethrotomy and Intermittent Self-Catheterization: A Controlled Study of A New Therapy Anders BØdker, Paul Ostri, Jesper Rye-Andersen, Lisbeth Edvardsen and Jan Struckmann From the Departments of Urology T, D and H, Glostrup Hospital, Rigshospitalet, Gentofte Hospital, and Department of Surgery K, Frederiksberg Cited by: A controlled study of the effect of treatment of recurrent urethral stricture by internal urethrotomy followed by clean intermittent self-catheterization for 3 months is by: Visual internal urethrotomy is a simple and popular treatment for male urethral stricture; however, the long-term stricture-free rate is modest even after only a single procedure.

Most of the recurrences were found to occur within one year. Thus, definitive curative reconstruction should Cited by: 8. Visual internal urethrotomy was used in the treatment of urethral strictures in patients.

The procedure was performed mostly under local anesthesia. Urethral catheter for forty-eight hours or urethral splinting for two weeks was used as complementary treatment in some by: Direct visual internal urethrotomy (DVIU) and urethral dilatation are the most commonly performed procedures for urethral stricture disease.

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This approach is appealing both for urologists and patients as it is minimally invasive. Outpatient treatment for male urethral strictures - Dilatation versus internal urethrotomy. Male patients with proven urethral strictures (total ) were prospectively randomised to undergo either dilatation ( patients) or internal urethrotomy ( patients) as.

During a five-year period, direct vision internal urethrotomy was used for the treatment of urethral strictures in 34 men. After the primary operation the patients were followed for an average. Direct-vision urethrotomy is the transurethral incision of the stricture under direct vision at 12 clock.

The internal urethrotomy by Sachse uses a cold knife [fig. internal urethrotomy]. Alternatively, the stricture can be cut using a laser fiber (Nd:YAG or holmium). Best treatment for urinary bladder problems - Preeti Urology and kidney Hospital - Duration: Preeti Hospital-Best Urology Hospital in Hydera views The authors elaborated a new device permitting to perform internal urethrotomy for urethral stricture in an anterograde way, even in cases where optical retrograde urethrotomy could not be applied.

The new device is similar to a bladder biopsy forceps with a diameter of Ch : D. Nicolescu, R. Boja, I. Mártha, V. Osan, I. Kész, D. Flores. The aim of this study was to evaluate the role of urethral stricture treatment outcomes, efficacy, and complications using cold knife and Ho: YAG (Holmium laser) for optical internal urethrotomy.

Treatment methods for urethral stricture are divided as endoscopic, and open surgeries, and treatment method varies according to localization, length, and shape of the stricture [1].

Internal. Internal Urethrotomy Combined With Antegrade Flexible Cystoscopy for Management of Obliterative Urethral Stricture Article (PDF Available) in Urology journal 5(3) February with 46 Reads.

The aim of this study was to determine whether the natural course of urethral stricture disease could be modified following urethrotomy by teaching patients intermittent self-catheterization. Lawrence WT, MacDonagh RP () Treatment of urethral stricture disease by internal urethrotomy followed by intermittent “low-friction” self-catheterization: preliminary communication.

J R Soc Med – PubMed Google ScholarCited by: 2. Urethral stricture is a common condition that can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention.

Treatment options include catheterization, urethroplasty, endoscopic internal urethrotomy, and dilation. Optical internal urethrotomy offers faster recovery, minimal scarring, and less risk of infection, although recurrence is Author: Konstantinos Stamatiou, Aggeliki Papadatou, Hippocrates Moschouris, Ioannis Kornezos, Anargiros Pavl.

On External Perineal Urethrotomy, Or An Improved Method Of External Division Of The Urethra In Perinaeo, For The Relief Of Obstinate Stricture: With Remarks On The Preparatory- And After Treatment [J.

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Description Remarks on the treatment of urethral stricture by combining internal and external urethrotomy FB2

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as. This man suffered from urethral stricture disease for decades as was treated with countless dilations and 31 direct vision internal urethrotomy procedures (DVIU) under anesthesia until his urethra.

This study presents long-term results of treatment of urethral strictures in men who underwent direct vision cold urethrotomy between January 1, and Decem Satisfactory urodynamic results were achieved in % of by: 9.

(Objective) Direct vision internal urethrotomy (DVIU) has been considered to be a low invasive and widely used therapeutic modality for male urethral stricture. However, its efficacy is still controversial. We herein evaluated the efficacy of DVIU for male urethral stricture.

(Patients and methods) Nineteen patients 27 to 78 years old (median. The records of all male patients who underwent direct visual internal urethrotomy for urethral stricture disease in our hospital between July and May were reviewed.

The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth, and fifth by: 8. urethral strictures: dilations, optical internal urethrotomy, andopenurethroplasty[ ].Treatmentoptiondependsonthe type, length, and aetiology of stricture.

However, the choice of treatment can be in uenced to varying degrees by the simplicity of the method, the preferences of the patient, and theavailable onsareeasy to performin. Visual internal urethrotomy is a simple and popular treat-ment for male urethral stricture; however, the long-term stricture-free rate is modest even ae r only a single proce-dure.

Most of the recurrences were found to occur within one year. u s, de nitive curative reconstruction should be planned as early as possible. Repeated visual internal. The treatment of short bulbar urethral stricture with primary open urethroplasty is less costly than endoscopic treatment with internal urethrotomy Rourke KF and Jordan GH.

J Urol ; Center for Reconstructive Urethral Surgery. History of Urethral Stricture Management 1Ancient India Susruta:urethral dilation with reed catheter lubricated with ghee. Greece, Socrates: record of his joking about patients weak flow Greece, Epicurus: committed suicide when he could no longer dilate his stricture.

Rome in the first century, Celsus: described external urethrotomy for treatment of a stone impacted behind a stricture. Urethrotomy is a closed surgery instead of an open one, and it is one of several choices available to treat stricture.

It may not be appropriate if narrowing or scar tissue is extreme, and when stricture is less challenging, surgeons might try other methods instead of urethrotomy, including inflating the urethra with a balloon to widen it, or.ABSTRACT.

INTRODUCTION: We analyzed: (1) the effect of internal urethrotomy on objective and subjective measures of bladder function and bladder wall thickness, (2) the stricture recurrence rate, and (3) the effects of urethral and bladder changes on recurrent stricture formation.

METHODS: Between October and May22 male patients with primary urethral strictures (14 membranous, 4.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.