title: [Long-term results of endoscopic urethrotomy].
abstract: OBJECTIVE
  To analyze the long-term results of treatment of urethral strictures by internal endoscopic urethrotomy, a simple, easily reproducible procedure that carries a low morbidity and requires a short period of convalescence.
  
  
  METHODS
  We report our experience of 78 cases submitted to urethrotomy as primary treatment. The results at 19.7 months mean follow-up (range 6 months--5 years) are presented. A maximum of three Sachse procedures were performed if stricture recurred.
  
  
  RESULTS
  The complications were rare. Although the results were poor in only 21% of the patients 6 months postoperatively, 46% had recurrent strictures. Moreover, nearly 50% of these strictures recurred after a second or third urethrotomy.
  
  
  CONCLUSIONS
  The nature of the stricture, determined by spongiofibrosis, is the main prognostic factor. Internal urethrotomy is indicated in urethral strictures without exorbitant spongiofibrosis, otherwise stricture will recur after internal urethrotomy and other treatment modalities will be required.
authors.affiliation: Servicio de Urología, Hospital Ntra, Sra. de Covadonga, Oviedo, Asturias, España.
authors.forename: C J
authors.initials: CJ
authors.lastname: Rabade Rey
authors.forename: J M
authors.initials: JM
authors.lastname: Fernández Gómez
authors.forename: A
authors.initials: A
authors.lastname: Martín Huescar
authors.forename: J L
authors.initials: JL
authors.lastname: Sahagún Argüello
authors.forename: J
authors.initials: J
authors.lastname: Pérez
authors.forename: F J
authors.initials: FJ
authors.lastname: Martínez Gómez
authors.forename: J L
authors.initials: JL
authors.lastname: Martín Benito
authors.forename: F
authors.initials: F
authors.lastname: Alonso Sainz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014525:Urethral Stricture / Q000601:surgery*