Abstract：
:Urethral dilatation has long been the standard treatment for patients with urethral stricture. However, in many patients such dilatations may be difficult, painful, or have to be done at frequent intervals. The alternative techniques of direct vision urethrotomy or urethroplasty have been considered in 101 patients over a twelve-year period. Skin inlay urethroplasty in this series showed a significant level of complications and an absolute failure rate of 15 per cent. A prospective study of 39 patients undergoing urethrotomy using the Sachse optical urethrotome has shown that 82 per cent of patients are symptom-free and 13 per cent symptomatically improved at a follow-up ranging from sixteen months to three and one-half years (mean twenty-five months). We believe that urethrotomy using the Sachse optical urethrotome should now be the initial treatment of choice in the management of urethral stricture. Urethral dilatations or urethroplasty should be reserved for those patients who have persisting stricture despite such urethrotomy.
journal_name
Urologyjournal_title
Urologyauthors
Smith PJ,Dunn M,Roberts JBdoi
10.1016/0090-4295(81)90461-1subject
Has Abstractpub_date
1981-12-01 00:00:00pages
582-7issue
6eissn
0090-4295issn
1527-9995pii
0090-4295(81)90461-1journal_volume
18pub_type
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