[Endoscopic internal urethrotomy. Retrospective studies of 132 cases].
The authors report a series of 132 patients with urethral stricture all treated by the same surgical technique between 1979 and 1984: direct vision internal urethrotomy. 62% of good results were obtained after a single operation with a follow-up ranging between 18 months and 5 years. There was no mortality and the morbidity was considered to be 5%. The authors indicate that the results were more favourable when the operation was performed in a solitary, short (less than 2 cm) non-infected stricture of the proximal urethra. The duration of postoperative catheterization was 10 days; catheterization for a longer period did not provide any significant advantage. The poor results (38%) were reported in cases of extensive strictures situated in the distal urethra or in patients with a history of urethral surgery. These cases were treated by repeated internal urethrotomy; 32% were cured after a second urethrotomy, while the others required maintenance sessions of urethral dilatation or even a urethroplasty procedure.
Benizri
E
E
Service d'Urologie du Professeur J. Toubol, Hôpital Pasteur, Nice.
Chevallier
D
D
Quintens
H
H
Fabiani
P
P
Degraeve
B
B
Amiel
J
J
Raymond
G
G
Toubol
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*
Urétrotomie interne endoscopique. Etude rétrospective de 132 observations.