Neodymium-YAG laser core through urethrotomy in obliterative posttraumatic urethral strictures after failed initial urethroplasty.
OBJECTIVE
To assess the feasibility, problems and results of Nd-YAG laser core through urethrotomy in the management of failed urethroplasty for posttraumatic bulbomembranous urethral strictures.


METHODS
61 patients with obliterative posttraumatic urethral strictures were treated by Nd-YAG laser core through urethrotomy between May 1997 to April 2000. Of these, 5 patients had failed end-to-end urethroplasty done as an initial procedure at various periods of time. The procedure was performed as day care and patients were discharged within 6 h of procedure.


RESULTS
At 24-30 months of follow-up, all patients are voiding well and are continent. Auxiliary procedures were required in 2 cases.


CONCLUSIONS
Nd-YAG laser core through urethrotomy is a feasible day care option for patients of obliterative urethral strictures following failed initial urethroplasty with successful outcome.
Dogra
P N
PN
Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
Nabi
G
G
D000293:Adolescent; D000328:Adult; D002648:Child; D005240:Feasibility Studies; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*