Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2017  |  Volume : 30  |  Issue : 2  |  Page : 367-371

Evaluation of direct visual internal urethrotomy in the management of anterior urethral strictures


Urology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Ibrahim M Gomaa
Urology Department, Faculty of Medicine, Menoufia University Menoufia 11160
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.215438

Rights and Permissions

Objectives The aim of the present study was to evaluate the outcome of direct vision internal urethrotomy (DVIU) in the management of patients with anterior urethral stricture. Background DVIU is a simple and popular treatment for male urethral stricture; however, the long-term stricture-free rate is modest even after only a single procedure. Therefore, identifying patients at risk for recurrence after DVIU is crucial. There is a paucity of research regarding factors predicting failure after DVIU, notably with no standardized definition of failure. Patients and methods We reviewed the charts and retrospectively analyzed the records of 103 male patients who underwent DVIU for anterior urethral stricture disease at Menoufia University Hospital between June 2014 and June 2015. The patients' demographics and stricture characteristics were analyzed. Procedure failure was defined as the need for regular urethral dilatation, redo DVIU, or urethroplasty. In addition, predictors of failure were analyzed. Results Successful outcome had occurred in 51 patients. The site of stricture was bulbar in 72.5% of them, whereas it was bulbopenile in 23.5% and penile in 4% of them. Stricture length was less than 1 cm in 51% of them, whereas it was 1–2 cm in 49% of them. Conclusion Patients with urethral stricture who are ideal candidates for initial treatment with DVIU tend to have a single, short (≤1 cm) bulbar stricture and no extensive spongiofibrosis surrounding the stricture. Repeated DVIU should be considered only in patients who are poor surgical candidates and not because of the convenience of performing a simple procedure.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed789    
    Printed2    
    Emailed0    
    PDF Downloaded69    
    Comments [Add]    

Recommend this journal