role of visual urethrotomy in the primary treatment of obliterated posterior urethral structures

ABSTRACT

Ten cases of obliterated posterior urethral stricture were managed with visual urethrotomy. A half circle C shaped sound was introduced through the supra public cystostomy into the posterior urethra and was used as a guide for urethrotomy. When the sound was impossible to pass into the posterior urethra, methylene blue dye was installed in the bladder and used instead of the sound. Nine patients out of 10 had acceptable urine flow rate after visual urethrotomy. Visual urethrotomy is a simple, repeatable, safe and useful procedure for the management of stricture urethra. The long-term results were not guaranteed and the follow up for long periods was recommended