Experience with cold knife optical internal urethrotomy and temporary dilatation

ABSTRACT

to evaluate the out come and efficacy of cold knife optical urethrotomy and temporary dilatation. Design: a retrospective analysis of 127 cases. Place and duration of study the study was carried out over a period of three years [March 1997 To April 2000] In The Larkana Medical Centre Private Larkana. One hundred and twenty seven male patients with urethral stricture were treated with cold knife optical urethrotomy over a period of three years. An analysis was carried out of the short-term results of optical internal urethrotomy and temporary dilatation to determine the out come and efficacy of the procedures. The age range was 15-75 years, the mean age being 36.6 years. the follow-up period of treated patients ranged from three months to three years. The results showed that early morbidity was 15% with no mortality. The recurrence rate was 8.9%. The results are consistent with other studies and confirm this as the preferred initial procedure in urethral stricture of penile,bulbar, membraneous and prostatic urethra. Optical urethrotomy is the preferred initial management of urethral stricture. Urethroplasty should be considered in failed optical urethrotomy and recurrent urethral stricture disease