The Endoscopic Management of Stricture Urethra

Abstract

The endoscopic management of stricture urethra was performed in 50 cases with average age of 37 years and mean symptoms duration of 4.3 months. Thirty eight (76%) patients had stricture of anterior and 12 (24%) with posterior urethral stricture. Routine blood and urine routine examination, renal function tests, renal ultrasound and retrograde urethrogram. X-rays were performed in each individual. The average length of strictures in these patients was 1.6cm. Twenty (40%) patients were with retention of urine and suprapubic cystostomy was previously performed. The remaining 30(60)%) Patients had severe urinary obstruction and mean residual urine was 82m1. Almost all of them had sexual weakness. Urethroscopy and internal urethotomy was performed with cold knife under general anaesthesia in 40(80%) and 10(20%) of them were operated under spinal anaesthesia and catheterised for 844 days. All of them were successfully treated at a single session except 5(10%) who developed extravasation or difficulty in passing the catheter, and urethroplasty was performed in these patients. All patients were advised intermittent self-dilatation for one month postoperatively and follow UJ) Urethroscopy was performed. There was no incontinence and all improved satisfactorily with peak urinary flow rate of 16-20m1/sec. The cost of treatment by endoscopic management was much less than of open surgery and this cost effective therapy should be done as an initial procedure in most of the cases of stricture urethra.