Direct vision urethrotomy [experiences with 38 cases of urethral stricture]

ABSTRACT

Transurethral urethrotomy under direct vision is a simple procedure which can be done under local or general anesthesia as a day case for the majority of the patients suffering from urethral strictures. Of 38 patients who underwent this procedure with a maximum of 2.5 years follow-up, 20 had excellent results, 8 were satisfactory, and 4 showed poor results. Six patients were lost to follow up. The highest success rates were among patients with short strictures [about 1 cm length]. This simple, inexpensive, and least disabling technique, with its low risk of complications and least amount of discomforture, makes it the procedure of choice for most urethral strictures