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Original Article

NMJ. 2021; 10(2): 19-24


Visual internal urethrotomy in short segment bulbar stricture

Vedamurthy Reddy Pogula, Ershad Hussain Galeti, Kashinath Vasanth Thakare, Venkatesh Velivela, Sandeep Reddy, Ayesha Galeti.




Abstract

Background: Visual internal urethrotomy is a quiet, smooth and popular treatment for male short segment bulbar stricture. The Success Rates are not promising compared to urethroplasty. Among distinct factors, the percentage of narrowing at the maximum stricture point on a retrograde urethrogram is least studied. This study aimed to evaluate the outcome of visual internal urethrotomy in the management of patients with short segment bulbar urethral stricture.
Methods: A total of 40 male patients with short segment bulbar urethral stricture who underwent visual internal urethrotomy from May 2018 to February 2020 were studied. We used retrograde urethrogram to assess the stricture site narrowing and Percentage of narrowing was measured. The patients were then subjected to visual internal urethrotomy using a standard 21fr Sachse's cold knife urethrotome. The preoperative and postoperative uroflowmetry, mean voided volumes were measured at 3rd and 6th months respectively to evaluate the effect of visual internal urethrotomy.
Results: The majority of the patients were in the age group of 31-40 years. The mean bulbar urethral stricture length was 1.3 cm. Idiopathic was the commonest cause of stricture in 22 (55%) patients. The postoperative uroflowmetry changes and mean voided volume were improved significantly at the 3rd and 6th months. The recurrence rate was 25% for length ≥ 2cm and 8.33% for length

Key words: Stricture urethra; visual internal urethrotomy; uroflowmetry






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