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Published on: January 26, 2018
Optical urethrotomy using topical anesthesia
1Department of Urology, Ministry of Health, Dr Münif Islamoğlu Hospital, Kastamonu, Turkey. saltinova@yahoo.com
International Urology and Nephrology
|January 26, 2007
Summary
Visual optical internal urethrotomy effectively treats short urethral strictures with high success and minimal pain. This minimally invasive procedure under local anesthesia is safe, comfortable, and cost-effective for patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Urethral strictures are a common condition causing urinary obstruction.
- Shorter strictures (<2 cm) present specific treatment challenges.
Purpose of the Study:
- To evaluate the efficacy and safety of visual optical internal urethrotomy for short urethral strictures.
- To assess patient-reported pain levels and procedural outcomes.
Main Methods:
- A series of 28 patients with urethral strictures <2 cm underwent visual optical internal urethrotomy.
- Procedures were performed under local urethral anesthesia with lidocaine.
- Pain was assessed using the Visual Analogue Scale (VAS); follow-up was at least 6 months.
Main Results:
- The procedure was successfully completed in 26 of 28 patients (92.9%).
- Of the successfully treated patients, 96% (25/26) reported mild pain.
- All patients were followed up for a minimum of 6 months post-procedure.
Conclusions:
- Visual optical internal urethrotomy is a minimally invasive and successful treatment for short urethral strictures (<2 cm).
- Local urethral anesthesia with lidocaine provides a safe, comfortable, and cost-effective approach.
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