Mian Naushad Ali.
Experience With Cold Knife Optical Internal Urethrotomy.
J Coll Physicians Surg Pak Jan ;11(11):693-5.

Objective: To evaluate the outcome and efficacy of cold knife optical internal urethrotomy. Design: A retrospective analysis of 120 cases. Place and Duration of Study: The study was carried out over a period of three years (May 1996 - June 1999) in the Department of Surgery, Khyber Teaching Hospital, Peshawar; and Medicare Hospital (Private), Peshawar. Subjects and Methods: One hundred and twenty male patients with urethral strictures were treated with cold knife optical urethrotomy over a period of three years. An analysis was carried out of the short-term results of optical internal urethrotomy to determine the outcome and efficacy of the procedure. The age range was 14-80 years, the mean age being 35 years. Results: The follow-up period on treated patients ranged from three months to thirty-three months. The results awed that early morbidity was 16.6 % with no mortality. The recurrence rate was 7% (8 out of 120). The results are consistent with other studies and confirm this as the preferred initial procedure in urethral strictures of bulbar, membranous and proximal penile urethra. Conclusion: Optical internal urethrotomy is the preferred initial management of urethral stricture. Urethroplasty should be considered in failed optical urethrotomy and recurrent stricture disease.

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