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Updated: Jun 12, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Endoscopic management of urethral stricture]
R Rossi Neto1, S Tschirdewahn, S Tschirderwahn
1Klinik und Poliklinik für Urologie, Kinderurologie und urologische Onkologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122, Essen, Germany. roberto.rossineto@uk-essen.de
Der Urologe. Ausg. A
|June 15, 2010
Summary
Endoscopic urethrotomy is a safe, cost-effective initial treatment for urethral strictures, despite high recurrence rates. Most patients prefer repeated urethrotomy over more invasive options if the stricture returns.
Area of Science:
- Urology
- Surgical Innovation
- Medical Treatment
Background:
- Urethral strictures pose a significant urologic challenge.
- Endoscopic urethrotomy, first performed in 1893, remains a key treatment.
- Advancements include laser therapy and reconstructive methods.
Purpose of the Study:
- To evaluate the efficacy and patient preference for primary endoscopic urethrotomy.
- To analyze recurrence rates and long-term outcomes of this procedure.
Main Methods:
- Retrospective analysis of 20 patients over 2 years.
- Focus on primary endoscopic urethrotomy for bulbar or penile narrowing.
- Assessment of recurrence and patient-reported outcomes.
Main Results:
- High recurrence rate of 70% observed.
- Endoscopic urethrotomy was deemed safe and effective as a temporary measure.
- 80% of patients preferred repeated urethrotomy for recurrence.
Conclusions:
- Primary endoscopic urethrotomy is a simple, safe, and cost-effective first-line treatment.
- Despite high recurrence, it offers a valuable alternative to invasive procedures.
- Patient preference supports repeated urethrotomy in cases of relapse.
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