Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results

Objective. To determine the long-term stricture-free rate after visual internal urethrotomy following initial and follow-up urethrotomies. Methods. The records of all male patients who underwent direct visual internal urethrotomy for urethral stricture disease in our hospital between July 2004 and M...

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Main Authors: Waleed Al Taweel, Raouf Seyam
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2015/656459
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author Waleed Al Taweel
Raouf Seyam
author_facet Waleed Al Taweel
Raouf Seyam
author_sort Waleed Al Taweel
collection DOAJ
description Objective. To determine the long-term stricture-free rate after visual internal urethrotomy following initial and follow-up urethrotomies. Methods. The records of all male patients who underwent direct visual internal urethrotomy for urethral stricture disease in our hospital between July 2004 and May 2012 were reviewed. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth, and fifth urethrotomies. Results. A total of 301 patients were included. The overall stricture-free rate at the 36-month follow-up was 8.3% with a median time to recurrence of 10 months (95% CI of 9.5 to 10.5, range: 2–36). The stricture-free rate after one urethrotomy was 12.1% with a median time to recurrence of eight months (95% CI of 7.1–8.9). After the second urethrotomy, the stricture-free rate was 7.9% with a median time to recurrence of 10 months (95% CI of 9.3 to 10.6). After the third to fifth procedures, the stricture-free rate was 0%. There was no significant difference in the stricture-free rate between single and multiple procedures. Conclusion. The long-term stricture-free rate of visual internal urethrotomy is modest even after a single procedure.
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spelling doaj-art-a42d56f277e146179a5b2626b1ffffb72025-02-03T05:48:24ZengWileyAdvances in Urology1687-63691687-63772015-01-01201510.1155/2015/656459656459Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term ResultsWaleed Al Taweel0Raouf Seyam1Department of Urology, King Faisal Hospital and Research Center, Riyadh 11211, Saudi ArabiaDepartment of Urology, King Faisal Hospital and Research Center, Riyadh 11211, Saudi ArabiaObjective. To determine the long-term stricture-free rate after visual internal urethrotomy following initial and follow-up urethrotomies. Methods. The records of all male patients who underwent direct visual internal urethrotomy for urethral stricture disease in our hospital between July 2004 and May 2012 were reviewed. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth, and fifth urethrotomies. Results. A total of 301 patients were included. The overall stricture-free rate at the 36-month follow-up was 8.3% with a median time to recurrence of 10 months (95% CI of 9.5 to 10.5, range: 2–36). The stricture-free rate after one urethrotomy was 12.1% with a median time to recurrence of eight months (95% CI of 7.1–8.9). After the second urethrotomy, the stricture-free rate was 7.9% with a median time to recurrence of 10 months (95% CI of 9.3 to 10.6). After the third to fifth procedures, the stricture-free rate was 0%. There was no significant difference in the stricture-free rate between single and multiple procedures. Conclusion. The long-term stricture-free rate of visual internal urethrotomy is modest even after a single procedure.http://dx.doi.org/10.1155/2015/656459
spellingShingle Waleed Al Taweel
Raouf Seyam
Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results
Advances in Urology
title Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results
title_full Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results
title_fullStr Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results
title_full_unstemmed Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results
title_short Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results
title_sort visual internal urethrotomy for adult male urethral stricture has poor long term results
url http://dx.doi.org/10.1155/2015/656459
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