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
Article

Abstract

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.

Keywords

Public Health Bladder Neck Urinary Infection Urethral Dilatation Irritable Bladder 

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Copyright information

© Akadémiai Kiadó 1982

Authors and Affiliations

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

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