International Urology and Nephrology

, Volume 14, Issue 4, pp 407–414 | Cite as

Urethral narrowing and its treatment: A possible solution for the problems of recurrent urinary infection and the “irritable bladder”

  • D. A. McCannel
  • W. Haile


A surgical treatment for longstanding urinary and pelvic complaints of women is described and evaluated. The procedure includes urethral dilatation to 40 F and “snowplowing” (dull curettage) of urethral, bladder neck, and trigonal mucosa with the heel of the cystoscope, removing granulated tissue, polyps, and villous fronds, and unroofing infected periurethral glands Vigorous urethral massage is performed, and the patient is hospitalized overnight with large-catheter drainage to continue dilatation. Follow-up dilatations in the office are essential. The procedure was evalutated by comparing presenting and post-treatment symptoms for each patient and byasking each patient to rate the effectiveness of the treatment. Results suggest that treatment is very effective, with 80 per cent of respendents rating it either excellent or good.


Public Health Bladder Neck Urinary Infection Urethral Dilatation Irritable Bladder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Seddon, J. M., Bruce, A. W.: Cystourethritis.Urology, 11, 1 (1978).PubMedGoogle Scholar
  2. 2.
    Leiter, E.: Management of cystourethritis in the female.GU, 1, 12 (1979).Google Scholar
  3. 3.
    Bodner, H.: The “urethral syndrome” in women. In: Bodner, H., Arconti, J. S. Jr., Howard, A. H., Pearman, R. O. (eds): Diagnostic and Therapeutic aids in Urology. Charles C. Thomas, Springfield, Ill. 1974, p. 186.Google Scholar
  4. 4.
    Smith, P.: The management of postmenopausal atrophic urethritis.GU, 1, 13 (1979).Google Scholar
  5. 5.
    Zufall, R.: Ineffectiveness of treatment of urethral syndrome in women.Urology, 12, 337 (1979).Google Scholar
  6. 6.
    Nagamatsu, G. R.: How to control the female urethritis syndrome.,The Female Patient, March, 66 (1978).Google Scholar
  7. 7.
    Riba, L. W., Christiansen, F. A., Hibbs, D. K.: Management of lesions of female urethra.Illinois Med., 69, 47 (1936).Google Scholar
  8. 8.
    Folsom, A. L., O'Brien, H. A. The female obstructing prostate,J. A. M. A., 121, 573 (1943).Google Scholar
  9. 9.
    Emmett J. L., Hutchins, S. P. R., McDonald, J. R.: The treatment of urinary retention in women by transurethral resection.J. Urol., 63, 1031 (1950).PubMedGoogle Scholar
  10. 10.
    Larson, J. W., Swenson, W. M., Utz, D. C., Steinhilber, R. M.: Psychogenic urinary retention in women.J. A. M. A., 184, 697 (1963).Google Scholar
  11. 11.
    Kerr, W. S. Jr.: Interstitial cystitis: Treatment by transurethral resection.J. Urol., 105, 664 (1971).PubMedGoogle Scholar
  12. 12.
    Keitzer, W. A., Allen, J. S.: Operative treatment of chronic cystitios by urethrotomy: 10 years of experience.J. Urol., 103, 429 (1970).PubMedGoogle Scholar
  13. 13.
    Tanagho, E. A., Lyon, R. P.: Urethral dilatation versus internal urethrotomy.J. Urol., 105, 242 (1971).PubMedGoogle Scholar
  14. 14.
    Rieser, C.: A new method of treatment of inflammatory lesions of the female urethra.J. A. M. A., 294, 378 (1968).Google Scholar
  15. 15.
    Macchia, R. J.: Puzzling urinary tract symptoms.The Female Patient, May, 39 (1978).Google Scholar
  16. 16.
    Folsom, A. I., O'Brien, H. A.: The female urethra: The connecting link between the ureologist and the gynecoloigst.J. A. M. A., 128, 408 (1945).Google Scholar
  17. 17.
    Barrett, D. M.: Evluation of psychogenic urinary retention.J. Urol., 120, 191 (1978).PubMedGoogle Scholar
  18. 18.
    Folsom, A. I., Alexander, J. C.: Referred pain from the female urethra.J. Urol., 31, 731 (1934).Google Scholar
  19. 19.
    Folsom, A. I.: The female urethra: A clinical and pathologic study.J. A. M. A., 97, 1345 (1931).Google Scholar
  20. 20.
    Johnson, F. P.: The homologue of the prostate in the female.J. Urol., 8, 13 (1922).Google Scholar
  21. 21.
    Walsh, A.: Personal communication, 1977.Google Scholar
  22. 22.
    Young, H. H., Wesson, M. B.: The anatomy and surgery of the trigon.Arch. Surg., 3, 1 (1921).Google Scholar

Copyright information

© Akadémiai Kiadó 1982

Authors and Affiliations

  • D. A. McCannel
    • 1
  • W. Haile
    • 1
  1. 1.University of CaliforniaLos AngelesUSA

Personalised recommendations