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Direct vision internal urethrotomy using topical anesthesia

K J Kreder1, R Stack, J B Thrasher

  • 1Department of Urology, University of Iowa Hospitals and Clinics, Iowa City.

Urology
|November 1, 1993
PubMed
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Direct vision internal urethrotomy (DVIU) with topical lidocaine anesthesia is a safe and effective procedure. Most patients experienced minimal discomfort, demonstrating the technique

Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Urethral strictures are a common urological condition.
  • Traditional treatments can be invasive and costly.

Purpose of the Study:

  • To evaluate the safety and efficacy of direct vision internal urethrotomy (DVIU) under topical lidocaine anesthesia.
  • To assess patient comfort levels during the procedure.

Main Methods:

  • A consecutive series of 18 patients underwent DVIU.
  • Topical lidocaine was used for local anesthesia.
  • Success rates and patient-reported discomfort were recorded.

Main Results:

  • The procedure was successfully completed in 15 out of 18 patients (83%).
  • 12 out of 15 (80%) patients reported minimal or no discomfort.

Related Experiment Videos

  • The technique proved to be safe and cost-effective.

    • Conclusions:

    • DVIU under topical lidocaine anesthesia is a viable treatment option for urethral strictures.
    • The procedure offers a favorable safety profile and patient tolerance.
    • This approach presents a cost-effective alternative for managing urethral strictures.