Cryosurgery versus dilation and massage for the treatment of recurrent urethral syndrome.
One year after the initiation of a prospective, randomized, crossover trial comparing dilation and massage to urethral cryosurgery utilizing a specially designed urethral cryoprobe, our results show that cryosurgery was more effective in the treatment of recurrent urethral syndrome in women. Ninety-one percent of patients first treated with cryosurgery were successful in achieving relief from their symptoms whereas only 33% of the women initially treated with dilation and massage were successful (P = .005). In addition, cryosurgery was more successful in treating women when they crossed over after failing the other therapy (75% vs. 0%). In total, 21 of 24 patients (87.6%) were treated successfully with one of the two modalities. Nineteen of the 22 patients (86.4%) in this select group treated with cryosurgery during the trial were successful, whereas only 5 of 15 (33.3%) treated with dilation and massage were successful (P = .001).
Sand
P K
PK
Women's Hospital, Memorial Medical Center of Long Beach, California.
Bowen
L W
LW
Ostergard
D R
DR
Bent
A
A
Panganiban
R
R
D003452:Cryosurgery; D004106:Dilatation; D005260:Female; D006801:Humans; D008405:Massage; D011446:Prospective Studies; D011897:Random Allocation; D012008:Recurrence; D013577:Syndrome; D014521:Urethra / Q000601:surgery; D014522:Urethral Diseases / Q000628:therapy*