Urethrotomy technique in urethral strictures: 6-year results

Area of Science:

• Urology
• Surgical Techniques

Background:

• Urethral strictures can be challenging to treat, often requiring multiple interventions.
• Recurrence is common, frequently linked to foreign body urethritis from indwelling catheters.

Purpose of the Study:

• To evaluate a radial urethrotomy technique for treating urethral strictures.
• To assess the efficacy and safety of this technique over a 6-year period.

Main Methods:

• Radial urethrotomy with closely spaced incisions, performed under local anesthesia.
• Multi-session approach for long or complex strictures, with repeat procedures after 2-3 weeks.
• No indwelling catheter or follow-up urethral treatment required.

Main Results:

• Over 80% overall success rate in 202 patients with simple and complicated strictures.
• Shortened postoperative course, reduced complications, and improved healing.
• Technique is rapid, minimally burdensome, and preserves potency.

Conclusions:

• Radial urethrotomy is an effective and safe ambulatory treatment for various urethral strictures.
• Avoiding indwelling catheters significantly reduces recurrence risk.
• The technique offers a high success rate with minimal patient burden and complications.