Chapter

Advanced Male Urethral and Genital Reconstructive Surgery

Part of the series Current Clinical Urology pp 103-132

Date:

Urethrotomy and Other Minimally Invasive Interventions for Urethral Stricture

  • Chris F. HeynsAffiliated withDepartment of Urology, Stellenbosch Universiteit en Tygerberg-Hospital Email author 

* Final gross prices may vary according to local VAT.

Get Access

Abstract

The minimally invasive interventions most often used for treating urethral strictures are dilation and direct vision internal urethrotomy (DVIU) which are equally effective for the initial treatment of strictures. The reported success rates with DVIU vary from 35 to 90 % and decline progressively with longer follow-up. The recurrence rates are higher with previously treated, long and multiple strictures, penile compared with bulbar strictures, and those with perioperative infection. Specific contraindications to DVIU include suspicion of urethral carcinoma, bleeding diathesis, and active infection.