Sachse urethrotomy versus endoscopic urethrotomy plus transurethral resection of the fibrous callus (Guillemin's technique) in the treatment of urethral stricture
Loading...
Date
Authors
Giannakopoulos, X.
Grammeniatis, E.
Gartzios, A.
Tsoumanis, P.
Kammenos, A.
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Type
Type of the conference item
Journal type
peer-reviewed
Educational material type
Conference Name
Journal name
Urology
Book name
Book series
Book edition
Alternative title / Subtitle
Description
OBJECTIVES: Advances in endoscopic instrumentation and technique have expanded the urologist's armamentarium for effective and safe treatment of urethral strictures. This prospective study included 80 patients who presented with single, iatrogenic, annular strictures of the bulbar urethra. The length of the stricture was 1 to 2 cm, with an average of 1.5 cm. METHODS: Patients were randomly divided into two groups: group A, 40 patients who underwent direct-optical endoscopic urethrotomy with a guide catheter via cold-knife incision at the 12 o'clock position (Sachse urethrotomy), and group B, 40 patients who underwent double direct-optical endoscopic urethrotomy with a guide catheter via cold-knife incisions at the 11 and 1 o'clock positions, followed by transurethral resection of all scar tissues (Guillemin's technique). The results obtained were analyzed and compared at 6 months, 12 months, 24 months, 3 years, and 5 years postoperatively by clinical evaluation, uroflowmetry, and retrograde and voiding urethrographies. RESULTS: Group A obtained 95% good results at 6 months, 85% at 12 months, 55% at 24 months, 45% at 3 years, and 25% at 5 years. Group B obtained 98% good results at 6 months, 95% at 12 months, 90% at 24 months, 80% at 3 years, and 70% at 5 years. CONCLUSIONS: The differences between the two groups are not significant at 6 and 12 months (P > 0.05). They are statistically significant after 24 months, 3 years, and 5 years (P < 0.05).
Description
Keywords
Aged, Endoscopy/*methods, Follow-Up Studies, Humans, Male, Prospective Studies, Urethral Stricture/*surgery
Subject classification
Citation
Link
http://www.ncbi.nlm.nih.gov/pubmed/9037288
http://ac.els-cdn.com/S0090429596004505/1-s2.0-S0090429596004505-main.pdf?_tid=054a908716a174aabf3466d869b2d576&acdnat=1333616892_592bd04fdf2a0cee6c539e6f8bef7c90
http://ac.els-cdn.com/S0090429596004505/1-s2.0-S0090429596004505-main.pdf?_tid=054a908716a174aabf3466d869b2d576&acdnat=1333616892_592bd04fdf2a0cee6c539e6f8bef7c90
Language
en
Publishing department/division
Advisor name
Examining committee
General Description / Additional Comments
Institution and School/Department of submitter
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής