[Evaluation of the results of endoscopic internal urethrotomy in the treatment of urethral stricture. Apropos of 163 controlled cases].
Results are reported of 294 internal urethrotomies performed over 5 years to treat 196 urethral strictures. In this series the predominant etiology was sclero-inflammatory (55% of cases) but there was also a fairly high incidence of iatrogenic (52 cases) and post-traumatic (30 cases) lesions. The length of the narrowed segment varied between 0.5 and 3 cm, the most frequent site the bulbar region. Results at 1-year follow up or longer were assessed by quality of micturition and flowmeter curve. Of the 163 cases controlled good results exceeded 60% of patients treated by this method. Mastery of internal urethrotomy has allowed almost complete elimination of blind instrumental dilatation, and has markedly decreased number of urethroplasties since adoption of this therapeutic procedure.
D004724:Endoscopy; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*
Appréciation des résultats de l'urétrotomie interne endoscopique dans le traitement du rétrécissement urétral. A propos de 163 cas contrôlés.