Date: 29 Jun 2013

Urethrotomy and Other Minimally Invasive Interventions for Urethral Stricture

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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.