Clinical Significance of Otis Internal Urethrotomy in the Treatment of Urethral Syndrome and Urethral Stricture

Kim, Soo Hyung; Kwon, Sung Won

Abstract

Patient with urethral syndrome constitute by far the largest percentage of women in the urologist' office. Many have already to its prevalence but also to the frustration in therapy for both patient and doctor. Anatomic obstruction in the urethra of these women has been widely reported as a etiology by bougie-a-boule calibration and also by uroflowmetry. So we applied internal urethrotomy to reduce urethral resistance in urethral syndrome patient. Because there is no clear-cut best treatment there are many different modalities available to treat urethral strictures. Nearly all strictures can be cured by aggressive treatment with urethroplasty but these methods often involve multiple stages and considerable patient inconvenience. One technique used to treat urethral strictures with a minimum of morbidity is internal urethrotomy. We herein report our experience with internal urethrotomy for the treatment of urethral stricture in men and urethral syndrome in women. Of 41 urethral syndrome treated by internal urethrotomy, 24 patients were followed and 18 patients of them were cured. Of 9 urethral stricture patients in men, 6 patients werecured completely and 2 patients needed periodic dilatation.