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International Urology and Nephrology

, Volume 39, Issue 2, pp 511–512 | Cite as

Optical urethrotomy using topical anesthesia

  • Serkan AltınovaEmail author
  • Sadi Turkan
Original Paper

Abstract

A series of 28 patients with urethral strictures less than 2 cm length underwent 32 visual optical internal urethrotomy under local urethral anesthesia with lidocaine. The procedure was completed successfully in 26 of 28 (92.9%) patients. Among these 25 of 26 (96%) patients reported mild pain. Visual analogue scale (VAS) was used for the evaluation of pain. All the patients were followed up for at least 6 months. Visual optical internal urethrotomy is a minimal invasive and successfull procedure for short (<2 cm) strictures. Visual optical internal urethrotomy under local urethral anesthesia with lidocaine is a safe, comfortable and cost-effective procedure.

Keywords

Urethra Stricture Urethrotomy Local anesthesia 

References

  1. 1.
    Matouschek E (1978) Internal urethrotomy of urethral stricture under-vision; a five-year report. Urol Res 6:147–150PubMedCrossRefGoogle Scholar
  2. 2.
    Gaches CGC, Askhen MH, Dunn M, et al. (1979) The role of selective internel urethrotomy in the management of urethral stricture: a multi-centre evaluation. Br J Urol 51:579–583PubMedGoogle Scholar
  3. 3.
    Greenland JE, Lynch TH, Wallece DMA (1998) Optical urethrotomy under local urethral anesthesia. Br J Urol 67(4):385–388CrossRefGoogle Scholar
  4. 4.
    Kreder KJ, Stack R, Trasher JB, Donatucci CF (1993) Direct vision internal urethrotomy using topical anesthesia. Urology 42:548–550PubMedCrossRefGoogle Scholar
  5. 5.
    Jordan GH, Devine PC (1988) Management of urethral stricture disease. Clin Plast Surg 15:493–505PubMedGoogle Scholar
  6. 6.
    Devine CJ, Jordan GH (1991) Surgery of anterior urethral strictures. In: Marshall F (ed) Operative urology, vol. 42. Philadelphia, WB Saunders, pp 307–321Google Scholar
  7. 7.
    Smith PJB, Dunn M, Dounis A (1978) Sachse optical urethrotome in management of urethral stricture in male: preliminary communication. J R Soc Med 71:698–700Google Scholar
  8. 8.
    Weems WL (1979) Management of genitourinary injuries in patients with pelvic fractures. Ann Surg 189:717–723PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  1. 1.Department of UrologyMinistry of Health, Dr. Münif İslamoğlu HospitalKastamonuTurkey

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