Internal Urethrotomy in the Management of Urethral Stricture II. Direct visual internal urethrotomy

Jeong, Sang Jai; Yoon, Jong Byung

Abstract

Under the direct endoscopic manipulation, 15 internal urethrotomies in 14 cases with urethral stricture were applied at our department from March to August, 1983. Following results were obtained: 1. The cause of 14 cases hospitalized, were injury in 13 cases and tuberculosis in one. The sites of urethral stricture were anterior urethra in 8 cases and posterior urethra in 6. The managements before applying direct visual internal urethrotomy were dilatation in 1 case having tuberculous urethral stricture and initial cystostomy just after in 13 cases. In 3 cases of them, Otis internal urethrotomy and urethroplasty had performed in one previously. 2. The length of urethral stricture estimate on preoperative retrograde urethrogram was less than 0.5cm in 3 cases, 0.6 to 1.0 cm in 5, 1.1 to 2.0 cm in 2, and 2.1 to 3.0 cm in 4, all of them were less than 3.0 cm. 3. The periods of catheter indwelling postoperatively were less than 3 days in 6 cases, 4 to 7 days in 7 and more than 8 days in only one, predominantly less than 7 days in 13. 4. The maximum flow rates were excellent or improved postoperatively. Voiding cystourethrogram was more valuable than retrograde urethrogram in urethral stricture. 5. Epididymitis in 1 case and urethral bleeding in 2 as postoperative complications were present. These results implied that the visual internal urethrotomy was a valuable method as the management before deciding to perform urethroplasty.