Abstract：
OBJECTIVES:To determine the feasibility of routinely performing internal urethrotomy for anterior urethral stricture under intracorpus spongiosum anesthesia in an outpatient setting. METHODS:In a consecutive series of 23 patients with anterior urethral stricture, a dosage of 3 mL of 1% lidocaine was slowly injected into the glans penis. Next, optical urethrotomy was performed immediately with a cold-cutting knife. The effect of this anesthetic technique was evaluated by questionnaire. RESULTS:Internal urethrotomy was successfully completed in all the patients. Twenty-two patients (95.7%) had no pain or discomfort. One patient reported minimal but tolerable discomfort while the tissue above the stricture was being cut. The anesthesia lasted for about 1.5 hours and was very satisfactory without any complications. CONCLUSIONS:Under intracorpus spongiosum anesthesia, optical urethrotomy can be routinely performed in an outpatient setting. With this new local anesthesia, internal urethrotomy is a safe, effective, simple, and inexpensive procedure for treatment of anterior urethral stricture.
journal_name
Urologyjournal_title
Urologyauthors
Ye G,Rong-gui Zdoi
10.1016/s0090-4295(02)01732-6subject
Has Abstractpub_date
2002-08-01 00:00:00pages
245-7issue
2eissn
0090-4295issn
1527-9995pii
S0090429502017326journal_volume
60pub_type
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