[Internal urethrotomy with endoscopic resection of the callus. 32 cases with a follow-up exceeding 5 years].
Thirty-two patients were operated for urethral stricture by internal urethrotomy with endoscopic resection of the callus. Complications consisted of one urethral perforation, one urethral haemorrhage and one case of acute epididymitis. With a follow-up of 5 to 15 years, the authors obtained 85% of good results for strictures less than 1.5 cm long. The success rate was 66% for strictures between 1.5 and 2 cm. The recurrence rate was high for strictures longer than 2 cm (75%). The indications for this technique therefore depend more on the length of the stricture than on its cause or its site. Lastly, endoscopic resection of the callus improves the results or urethrotomy alone by 15%.
Guillemin
P
P
Service d'Urologie, CHR Hôpital de Brabois, Vandoeuvre-les-Nancy.
L'Hermite
J
J
Chopin
G
G
Hubert
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005355:Fibrosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D014525:Urethral Stricture / Q000473:pathology / Q000601:surgery*
Urétrotomie interne avec résection endoscopique du callus. Trente-deux cas avec recul supérieur à cinq ans.