Endoscopic management of post-traumatic prostatic and supraprostatic strictures using Neodymium-YAG laser.
We assessed the feasibility, efficacy and long-term results of endoscopic management using Neodymium-YAG (Nd-YAG) laser as a day care procedure in patients with post-traumatic supraprostatic and prostatic strictures. Three patients with post-traumatic prostatic and supraprostatic obliterative strictures underwent Nd-YAG laser core through urethrotomy as a day care procedure. Patient age ranged between 12 and 14 years. Mean duration of injury was 16 months. The length of stricture was assessed by bi-directional endoscopy prior to the procedure in all cases. Core through procedure was carried out using Nd-YAG laser under the guidance of a cystoscope placed antegradely. Patients were discharged on the same day with urethral catheter. Foley catheters were removed at 6 weeks. Nd-YAG laser core through procedure was carried out successfully in all cases with negligible blood loss in a mean time of 48 min. There were no intraoperative or postoperative complications. Patients were discharged on the same day. Follow-up cystogram was conducted at 6 weeks and urethroscopy at months. At a mean follow-up of 23 months, patients were asymptomatic and voiding well. Nd-YAG laser core through urethrotomy is a safe and effective procedure. It is a less invasive alternative to more complex urethroplasty procedures for patients with post-traumatic prostatic and supraprostatic strictures. It can be carried out as a day care procedure in carefully selected patients and has no complications.
Nabi
Ghulam
G
Department of Urology, All India Institute Of Medical Sciences, New Delhi, India.
Dogra
Prem Nath
PN
D000293:Adolescent; D002648:Child; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008297:Male; D009354:Neodymium; D011467:Prostate; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000209:etiology* / Q000601:surgery*; D015019:Yttrium
D009354:Neodymium; D015019:Yttrium