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Year : 2020  |  Volume : 33  |  Issue : 4  |  Page : 1358-1361

Holmium laser vs cold knife – direct vision internal urethrotomy in management of bulbar urethral stricture

1 Department of Urology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Urology, Sohag Teaching Hospital, Sohag, Egypt

Correspondence Address:
Ayman F Adli
MBBCH, Assiut 71631
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_113_20

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Objectives The aim was to compare the safety and efficacy of using Holmium: YAG laser vs the cold knife in the treatment of short-segment bulbar urethral stricture. Background Male urethral stricture is a common condition in urological practice. Cold knife urethrotomy is the most appealing therapeutic method among urologists, as it is an easy and minimally invasive endoscopic procedure. Patients and methods This is a randomized prospective study that was done on 60 patients divided into two groups: group A included 30 patients subjected to cold knife urethrotomy (direct VIU), and group B included 30 patients subjected to HO: YAG laser urethrotomy (laser VIU). Results After 6 months, the success rate was 77.8% with less than 1-cm stricture length of direct VIU cases vs 78.3% with less than 1-cm stricture length of laser VIU cases. On the contrary, it was 41.7% with stricture greater than 1 cm of direct VIU cases vs 42.9% with more than 1 cm stricture length of laser VIU cases. After 12 months, we had the same results obtained at 6 months. Conclusion Laser VIU by using Ho: YAG laser can be used as a method of treatment of this disorder. It is an effective, low-invasive technique, with results are comparable to those of cold knife (direct VIU).

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