Posterior urethral obliteration treated by endoscopic reconstitution, internal urethrotomy and temporary self-dilation.
Five patients with complete posterior urethral obliteration (less than 3 cm.) underwent endoscopic reconstitution of the urethra followed by planned direct vision internal urethrotomy and temporary self-dilation. Of these patients 3 complied with the treatment regimen and are currently free of voiding complaints (average followup 31 months), while 2 failed to perform self-dilation and required repeat internal urethrotomy. Of the latter 2 patients 1 then performed self-dilation and has a stable urethra (followup 2 years). The youngest patient refused to perform self-dilation and underwent successful perineal urethroplasty. Major complications did not occur. The treatment regimen as described is a suitable alternative to surgical urethroplasty in select patients with short urethral defects (less than 3 cm.) who are willing to perform temporary urethral self-dilation.
Spirnak
J P
JP
Department of Urology, Case Western Reserve University, School of Medicine, Cleveland, Ohio.
Smith
E M
EM
Elder
J S
JS
D000328:Adult; D000368:Aged; D002648:Child; D004106:Dilatation / Q000379:methods; D006801:Humans; D012648:Self Care; D013518:Surgery, Plastic / Q000379:methods; D013997:Time Factors; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D014525:Urethral Stricture / Q000628:therapy*