title: Optical urethrotomy in strictures following fracture pelvis.
abstract: BACKGROUND
  Management of posterior urethral injuries with pelvic fracture remains a major controversy and has always been a challenge to urologists. Objective of this study was to see the outcome of optical internal urethrotomy in treatment of urethral strictures following fracture pelvis.
  
  
  METHODS
  This prospective study was conducted at the Urology Department, Lady Reading Hospital, Peshawar from January 2007 to July 2008. A total of 45 male patients (20-60 years of age) and having urethral strictures following fracture pelvis were treated with internal optical urethrotomy. Follow-up ranged from 3 months to 1 year.
  
  
  RESULTS
  Fracture pelvis resulting from the road traffic accident, was the cause of urethral stricture. The good and fair results of internal optical urethrotomy were 68.56% patients who were treated with single internal optical urethrotomy. Internal optical urethrotomy was repeated in 22.86% of patients. Clean intermittent self urethral dilatation was applied as adjuvant treatment to prevent recurrence of stricture for variable period ranging from 1 to 3 months.
  
  
  CONCLUSIONS
  Internal optical urethrotomy is safe and effective procedure for short yet inaccessible strictures from the perineum.
authors.affiliation: Department of Urology, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan. drislammercy@yahoo.com
authors.forename: Mohammad
authors.initials: M
authors.lastname: Islam
authors.forename: Farid
authors.initials: F
authors.lastname: Anwar
authors.forename: Sajjad
authors.initials: S
authors.lastname: Ahmed
authors.forename: Azaz
authors.initials: A
authors.lastname: Ali
mesh_terms: D000293:Adolescent; D000328:Adult; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D011446:Prospective Studies; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D055815:Young Adult