Clinical experience of internal urethrotomy for urethral stricture / 대한비뇨기과학회지

ABSTRACT

During a 4-year period (between 1988 and 1991), urethral strictures in 41 patients were treated by cold knife urethrotomy. Analysis of the distribution of age, etiology, complications and postoperative management were described. Satisfactory results were achieved in 85.3% of the cases. The overall morbidity was 22%. The most common cause of urethral strictures in this series was a previous trauma, either pelvic bone fracture or saddle injury. Patients with strictures more than 5cm long and membranous portion had unsatisfactory results. Direct vision cold knife urethrotomy shows incomplete treatment but is a safe technique that should be exercised as a therapeutic trial before a final decision is made to perform definitive urethroplasty.