Use of the Otis urethrotome in the treatment of urethral strictures and congenital urethral stenoses.
Internal urethrotomy using the Otis urethrotome is described in detail. Performing this procedure in 23 patients with urethral strictures, no further dilatations of the urethra were necessary in approximately 60%. If internal urethrotomy, which offers the advantages of having a very low rate of complications and which may be repeated, proves unsuccessful, a urethroplasty can still be carried out. As a preliminary procedure to transurethral resection of the prostate by cold punch technique, internal urethrotomy appears to be of great value in preventing urethral strictures - as demonstrated by follow-up studies in 351 patients.
D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D004106:Dilatation / Q000295:instrumentation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D012008:Recurrence; D013525:Surgical Instruments; D014525:Urethral Stricture / Q000151:congenital* / Q000601:surgery*; D014526:Urethritis / Q000150:complications; D014572:Urology / Q000295:instrumentation*