Haris Hamid, Farid Ullah Shah, Ikram Ullah.
Effectiveness of Internal Optical Urethrotomy in the Treatment of Urethral Stricture Disease.
Ophthalmol Update Jan ;15(4):421-3.

Objective: Urethral stricture is a relatively common disease in men with an associated prevalence of 229-627 per 100,000 males. The management of urethral stricture disease is surgical and includes urethral dilatation, optical urethrotomy, urethral stents and open reconstructive techniques. Optical urethrotomy is a minimally invasive, safe and simple procedure. Yet there are many controversies in the literature regarding the overall effectiveness of optical urethrotomy. The purpose of the study was to determine the exact effectiveness of optical urethrotomy in management of urethral stricture disease. Materials and Methods: This study is a descriptive study carried out at Department of Urology, MTI, LRH, Peshawar from 1 January 2015 to 31 December 2016. A total of 141 patients were included in the study using Non-probability consecutive sampling technique. All male patients of urethral stricture disease with average urine flow of 5 ml/ sec or less and age of 18 years and more were included in the study. Patients with enlarged prostate, bladder calculi and those have neurogenic bladder were excluded from the study. All the patients were put on next OT list for optical urethrotomy. All the patients were followed up till 1 year with uroflowmetry to determine effectiveness in terms of improvement in average urine flow rate of > 5ml/sec. Data was collected on a pre-designed proforma and analyzed on SPSS version 17. Mean + Standard deviation was calculated for quantitative variables like age and average urine flow rate. Frequencies and percentages were calculated for categorical variables like effectiveness, stratified among age and pre-operative average urine flow rate to see the effect modifications Results: During the study period 141 cases of urethral stricture disease were included in the study. The mean age of the study group was 38.30 and with a standard deviation of 11.69. The mean average urine flow rate before the surgery was 3.53 ml/s. The mean average urine flow rate after the surgery was 13.20 ml/. Internal optical urethrotomy was found to be efficacious in 88.7% of the study group. The mean hospital stay was 3.04 days. We could not find any association between the effectiveness of optical urethrotomy, age of the patient and average pre-operative urine flow rate. Conclusions: It is concluded from our study that optical urethrotomy is an effective procedure for the management of urethral stricture disease.

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