title: Use of the Otis urethrotome in the treatment of urethral strictures and congenital urethral stenoses.
abstract: 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.
mesh_terms: 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*