[Holmium laser urethrotomy for male urethral stricture].
OBJECTIVE
To evaluate transurethral holmium laser incision, its safety and effect in the treatment of male urethral stricture.


METHODS
Thirty-eight males with urethral stricture were treated by 1045 W holmium laser urethrotomy, 18 with the stricture length shorter than 1.0 cm, 9 between 1.0 cm and 1.5 cm, 7 longer than 1.5 cm , 4 with occlusive stricture and 6 companies with bladder calculus. The average peak urinary flow rate (Q(max)) was (5.6 +/- 2.3) ml/s.


RESULTS
Successful surgery was achieved in 36 of the cases, with no complications and the average Q(max) increased to (17.5 +/- 3.4) ml/s. Two cases were converted to open surgery. Thirty-two cases were followed up for 3-18 months, of whom 4 received urethral dilation and 2 underwent a second holmium laser urethrotomy.


CONCLUSIONS
Holmium laser urethrotomy is a safe, effective and minimally invasive therapeutic modality for male urethral stricture.
Xiao
Jun
J
Department of Urology, Anhui Provincial Hospital, Anhui Medical University, Hefei, Anhui 230001, China. xiaojunpp@126.com
Wu
Bin
B
Chen
Ling-Wu
LW
Qi
Lin
L
Zhu
Yu-Ping
YP
Su
Hong
H
Cao
Zheng-Guo
ZG
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D053844:Lasers, Solid-State; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D055815:Young Adult