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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
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Experience at a stricture clinic in a developing country.

Manzoor Hussain1, Hasan Askari, Murli Lal

  • 1Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan. info@siut.org

JPMA. the Journal of the Pakistan Medical Association
|July 31, 2013
PubMed
Summary

Trauma is the primary cause of urethral stricture. Management has evolved over 37 years, with urethroplasty and direct visual internal urethrotomy becoming the standard treatments for urethral stricture.

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Area of Science:

  • Urology
  • Surgical Management
  • Medical History

Background:

  • Urethral stricture is a significant urological condition.
  • Long-term data on etiology and evolving management practices are crucial.

Purpose of the Study:

  • To analyze 37 years of experience with urethral stricture management.
  • To evaluate the etiology, complications, and treatment trends at a specialized institute.

Main Methods:

  • Retrospective descriptive study of 1600 urethral stricture cases (1972-2009).
  • Review of patient files for demographics, stricture characteristics, and treatment outcomes.
  • Analysis of trends in diagnostic methods and management strategies over time.

Main Results:

  • 1600 patients (99.4% male) aged 14-80.
  • Common etiologies include pelvic fracture defects (49.5%) and fall astride injuries (9.2%).
  • Treatment evolved from rail-road and dilatation to urethroplasty and direct visual internal urethrotomy.

Conclusions:

  • Trauma is the leading cause of urethral stricture.
  • Urethroplasty and direct visual internal urethrotomy are current mainstays of management.
  • Stricture clinics are vital for early diagnosis and patient rehabilitation.