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Urethrotomy and Other Minimally Invasive Interventions for Urethral Stricture

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Advanced Male Urethral and Genital Reconstructive Surgery

Part of the book series: Current Clinical Urology ((CCU))

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.

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  1. Department of Urology, Stellenbosch Universiteit en Tygerberg-Hospital, 19063, Tygerberg, Cape Town, 7505, South Africa

    Chris F. Heyns MD

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  1. Department of Surgery Division of Urologic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Steven B. Brandes

  2. Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA

    Allen F. Morey

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Heyns, C.F. (2014). Urethrotomy and Other Minimally Invasive Interventions for Urethral Stricture. In: Brandes, S., Morey, A. (eds) Advanced Male Urethral and Genital Reconstructive Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-7708-2_9

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