Related Experiment Video
Updated: Aug 12, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Direct visual internal urethrotomy: Is it a durable treatment option?
Dilip Kumar Pal1, Sanjay Kumar1, Bastab Ghosh1
1Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Objective:
To evaluate the long-term success rate of direct vision internal urethrotomy as a treatment for anterior urethral strictures.
Materials And Methods:
We retrospectively analyzed the results for patients who underwent internal urethrotomy from January 2009 to January 2014 for anterior urethral strictures. Patients were followed till January 2016. Patients with complicated urethral strictures with a history of previous urethroplasty, hypospadias repair, or previous radiation were excluded from the study, as anticipated low success rate of direct visual internal urethrotomy (DVIU) in these patients. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, and third urethrotomy.
Results:
A total of 186 patients were included in this study. Stricture-free rates after first, second, and third urethrotomy were 29.66%, 22.64%, and 13.33%, respectively.
Conclusions:
Although DVIU may be a management option for anterior urethral stricture disease, it seems that long-term results are disappointing.
More Related Videos
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
03:51Treatment of Ejaculatory Duct Obstruction by Seminal Vesiculoscopy Assisted Flow Modification
Published on: December 8, 2023
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
01:28Urologic Endoscopic Procedure: Cystoscopic Examination