Nisar Ahmed Shaikh, Muhammad Nazir Shaikh, Shahzad Anwar.
Comparision of optical Urethrotomy with perineal Urethroplasty in the management of traumatic blind posterior urethral stricture.
Pak J Med Res Jan ;44(3):117-22.
Aims: To assess the efficacy, safety and complication of optical urethrotomy in traumatic blind posterior urethral stricture, and compare results with perineal urethroplasty. Study design and setting: A prospective study of 40 cases of blind traumatic urethral stricture was conducted at the department of urology, Services Hospital Lahore from Feb: 1997 to March 1999. Results: Majority of the patients (32) were in the 2nd to 4th decade of life. Most cases (30) belonged to the urban areas and the common site was membraneous urethra. Road traffic accident (36) and fall from height (3) were the commonest causes of stricture development. Twenty cases were treated with optical urethrotomy and 20 by urethroplasty. Although results of perineal urethroplasty were good (77.5%) as compared to optical urethrotomy (68.5%) but statistically no significant difference observed between two groups (P=0.257). The difference between morbidity, mean peak flow rate and mean residual urine was also insignificant. There was significant difference between two groups in terms of operative time, mean hospital stay and blood transfusion. Conclusions: It is recommended that optical urethrotomy may be used as a alternative procedure to urethroplasty in patients with blind traumatic posterior urethral strictures.
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