title: Direct vision internal urethrotomy by using endoscopic scissors.
abstract: OBJECTIVE
  To evaluate the effectiveness and safety of direct vision internal urethrotomy (DVIU) by using endoscopic scissors for incision of short (<1 cm) urethral strictures in adult men.
  
  
  METHODS
  Twenty-one patients who had short bulbar urethral strictures were evaluated in this study. Endoscopic scissors was used for incision of urethral strictures in all patients. Retrograde urethrography (RGU) and maximum flow rate(Qmax) <15.0 ml/s by uroflowmetry were used for the definition of recurrences.
  
  
  RESULTS
  The procedure was found successful in all patients. The mean size of stricture was 0.73 cm. The mean pre-procedure Qmax was 7.9 ml/s. The mean procedure time was 10.2 min. The mean Qmax was 19.4 ml/s at the third month postoperatively. RGU was normal in all patients at the third month postoperatively. The mean follow-up was 8.1 months. Three (14.2 %) patients underwent second DVIU due to recurrence. No complication was observed during the follow-up except urinary tract infection in two (9.5 %) patients.
  
  
  CONCLUSIONS
  DVIU using endoscopic scissors appears to be an effective and safe treatment modality for incision of short urethral strictures in adult men.
authors.affiliation: Department of Urology, Ministry of Health, Diyarbakır Gazi Yaşargil Education and Research Hospital, Fabrika Mah. 813. Sok., Altınpark Konutları, C blok, Kat: 4 No:9, Diyarbakır, 21100, Turkey, kenanisen@hotmail.com.
authors.forename: Kenan
authors.initials: K
authors.lastname: Isen
authors.forename: Varol
authors.initials: V
authors.lastname: Nalçacıoğlu
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000473:pathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods