title: [Sachse internal urethrotomy: endoscopic treatment of urethral strictures].
abstract: The most commonly used treatment modality for urethral strictures is the direct visual internal urethrotomy (DVUI) method according to Sachse. It is an effective short-term treatment, but the long-term success rate is low. A number of factors influence the outcome of DVUI including stricture location, spongiofibrosis and previous endoscopic stricture treatment. Multiple urethrotomy has a negative impact on the success rate of subsequent urethroplasty. A thorough preoperative diagnostic work-up including combined retrograde urethrogram/voiding cystourethrogram (RUG/VCUG) and urethrocystoscopy is, therefore, mandatory to allow for patient counselling regarding the risk of stricture recurrence and other treatment options. After a failed primary DVUI, subsequent urethrotomy cannot be expected to be curative.
authors.affiliation: Klinik für Urologie, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68157 Mannheim, Deutschland. daniel.pfalzgraf@umm.de
authors.forename: D
authors.initials: D
authors.lastname: Pfalzgraf
authors.forename: A
authors.initials: A
authors.lastname: Häcker
mesh_terms: D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014525:Urethral Stricture / Q000473:pathology* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*