Direct Vision Urethrotomy in the Management of Uretrhral Strictures

Lipsky, H; Hubmer, G.

doi:10.1111/j.1464-410x.1977.tb04561.x

Cited by 62 publications

(23 citation statements)

References 4 publications

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“…It is difficult to accept that such a simple method is so effective especially if the pattern with which it is compared are urethroplasties; our study confirms other high rates of curability (6,11,14,16,20). And we will even add our belief, that they can be surpassed.…”

Section: Discussionsupporting

confidence: 75%

Endoscopic Urethrotomy in the Treatment of Urethral Stenosis

Serrallach-Mila¹,

Serrate-Aguilera²,

Franco-Miranda³

et al. 1979

Eur Urol

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Section: Discussionsupporting

confidence: 75%

Endoscopic Urethrotomy in the Treatment of Urethral Stenosis

Serrallach-Mila¹,

Serrate-Aguilera²,

Franco-Miranda³

et al. 1979

Eur Urol

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“…13,14 In patients in whom urethral stricture is suspected, the measurement of urinary flow is part of the initial assessment. Determination of Qmax <10 mL=sec on uroflowmetry provides a diagnosis of urethral stricture with 96% accuracy.…”

Section: Discussionmentioning

confidence: 99%

The Short-Term Efficacy of Dilatation Therapy Combined with Steroid After Internal Urethrotomy in the Management of Urethral Stenoses

Gücük

Tuygun

Burgu

et al. 2010

Journal of Endourology

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“…A prospective study is now in hand to see how long this relief is maintained and whether this urethrotomy will produce a permanent cure of stricture in some patients. The straight incision of the scar tissue does seem to inhibit any further restenosis, and it would seem from previous work (Sachse 1974, Lipsky & Hubmer 1977) that this technique can produce a permanent cure of the stricture.…”

Section: Patients and Resultsmentioning

confidence: 99%

Sachse Optical Urethrotome in Management of Urethral Stricture in the Male: Preliminary Communication

1978

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Stricture of the male urethra is traditionally treated by regular dilatation or urethroplasty. Urethrotomy, the third method of dealing with stricture, has interesting historical associations (M urphy 1972) and though not used extensively in the past, when properly applied it has produced good results (Helmstein 1964). However, it is a blind procedure and even when urethroscopy is used before and after the incision (Helmstein 1964) it still remains a somewhat cumbersome technique. The development of an optical urethrotome has, however, altered this situation. The first optical urethrotome used electrocautery to incise the stricture (Ravasini 1957), but more recently Sachse (1974) has developed an optical urethrotome with a fine scalpel.This paper is a preliminary communication on our initial experience with the Sachse optical urethrotome. Instrument and techniqueThe instrument (as supplied by Storz Limited) consists of a standard pan endoscope using either a 30°or 0°viewing lens. The scalpel is similar to that used in neurosurgery and consists of an anterior and superior cutting edge ( Figure I). It is mounted on two carrying rods and inserts into a Nesbitt action electrotome. The instrument is inserted into the urethra and the stricture visualized (Figure 2). Through a side arm, a small ureteric catheter may be passed through the stricture in order to provide evidence of the direction of the urethra, both through and beyond the stricture. The knife is now extended beyond the pan endoscope sheath and the fibres of the stricture are then divided by an upward cutting movement of the blade (Figure 3). The whole instrument is used and the cutting is continued until all the fibres of the stricture are divided. It is quite easy to identify these fibres of the stricture and with the cutting action they can be seen to spring apart. Sometimes the incision needs to be carried deep into the wall of the urethra and bleeding may be encountered. In this case the ureteric catheter can be removed, a diathermy electrode passed down the side arm and any-bleeding points cauterized. After full incision of the stricture has been performed, the rest of the urethra, prostate, bladder neck and bladder can be inspected. Following the incision of the stricture a fenestrated catheter may be left in place for a period varying from one to seven days. The fenestrations in the catheter enable blood to drain away from the site of the incision. The technique, though simple does require a full understanding of endoscopy.I Paper read to Section of Urology,

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Direct Vision Urethrotomy in the Management of Uretrhral Strictures

Cited by 62 publications

References 4 publications

Endoscopic Urethrotomy in the Treatment of Urethral Stenosis

Endoscopic Urethrotomy in the Treatment of Urethral Stenosis

The Short-Term Efficacy of Dilatation Therapy Combined with Steroid After Internal Urethrotomy in the Management of Urethral Stenoses

Sachse Optical Urethrotome in Management of Urethral Stricture in the Male: Preliminary Communication

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