The Safety and Efficacy of Optical Urethrotomy Using a Spongiosum Block With Sedation: A Comparative Nonrandomized Study

Ather, M Hammad; Zehri, Ali Akbar; Soomro, Kashifuddin Qayoom; Nazir, Irfan

doi:10.1016/j.juro.2009.01.017

Cited by 16 publications

(10 citation statements)

References 17 publications

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“…[7][8][9] No single procedure is appropriate to manage all strictures and multiple techniques may be used in the same patient during the course of treatment to manage recurrence. An endoscopic urethrotomy is quick, widely available and safe.…”

Section: Discussionmentioning

confidence: 99%

A report on the clinical efficacy of a new Bougie-internal urethrectomy

Jong¹,

Chol²

2015

CUAJ

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Introduction: We compare the clinical efficacy of the new bougieinternal urethrectomy (BIU) with internal urethrotomy and urethroplasty to treat urethral stricture disease. Methods: We prospectively studied 186 people with urethral stricture disease. Of these, 84 were identified for urethroplasty and 102 for internal urethrotomy (endoscopic urethrotomy). Among the 84 identified for urethroplasty, 52 received BIU (Group 1) and the remaining 32 received urethroplasty. Among the 102 identified for internal urethrotomy, 58 received BIU (Group 2) and the remaining 44 received the internal urethrotomy. After surgery, we evaluated the clinical efficacy of the BIU (operative invasions, voiding flow rates, complications, sequelae) compared with the endoscopic treatment and urethroplasty. Results: Patient age ranged from 20 to 70 years. The follow-up period was 2 years. In the BIU Group 1, the BIU Group 2, and the internal urethrotomy (endoscopic treatment), the length of strictures were 2.9 ± 1.5, 2.8 ± 1.3, 1.6 ± 0.7, and 1.5 ± 0.6, respectively. In the BIU Group 1, the urethroplasty, the BIU Group 2, and the internal urethrotomy (endoscopic treatment), the amount of bleeding was 34.1 ± 17.1, 172.2 ± 29.8, 28.5 ± 9.8, and 49.7 ± 13.6 mL, respectively. In the BIU Group 1, the urethroplasty, the BIU Group 2, and the internal urethrotomy, the recurrence rates were 5.8%, 86%, 6.8% and 25%, and the average flow rates were 18.1 ± 4.8, 13.1 ± 3.9, 18.2 ± 3.6, 10.1 ± 3.1 mL/s, respectively. There was no sequealae (sexual dysfunction, penile change) in both BIU groups. Conclusions:The new BIU could be considered first-line treatment in all patients with indications for visual internal urethrotomy and urethroplasty.

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Section: Discussionmentioning

confidence: 99%

A report on the clinical efficacy of a new Bougie-internal urethrectomy

Jong¹,

Chol²

2015

CUAJ

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“…6 Under intracorpus spongiosum block anesthesia, minor procedures on the anterior urethra in an outpatient setting offer several advantages compared with the same procedure under general or spinal anesthesia in the operating room. 7 The risks of general or spinal anesthesia and common postoperative nausea or headache are avoided. The anxiety and discomfort associated with general anesthetic induction are eliminated.…”

Section: Discussionmentioning

confidence: 99%

“…Also, the time requirement for the patient or family is decreased, because an urologist can perform both anesthesia and surgical manipulations during the patient's initial office visit. 7 The patient can go back to work shortly after receiving the procedures. Finally, total cost will be markedly reduced, because anesthesia in an operating room and hospital stay are not needed.…”

Section: Discussionmentioning

confidence: 99%

“…Pain score on the VAS was not different between the two groups. 7 Another anesthetic technique, the transperineal urethrosphincteric block, has been described for performing OIU. 9 Using this techniques, although the mean VAS score reported was one (two patients had a score of five), the procedure needs two injections, use of a spinal needle, has pain associated with injection, and uses a larger volume of lignocaine (10…”

Section: Discussionmentioning

confidence: 99%

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A Randomized Controlled Trial Comparing Combined Spongiosum Block and Intraurethral Lignocaine with Intraurethral Lignocaine Alone in Optical Internal Urethrotomy for Urethral Stricture

Kumar

Prasad

Parmar

et al. 2012

Journal of Endourology

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“…Corpus spongiosum block, a novel technique was described as a simple, inexpensive, safe and effective procedure with efficacy comparable to general or spinal anesthesia in a recent nonrandomized study. 9 Many studies have compared the efficacy of ICSB with topical anaesthesia, sedoanalgesia, spinal and general anesthesia. There are no studies regarding ICSB for VIU in high risk group i.e.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Study of Efficacy of Intracorpus Spongiosum Block in High Risk Patients for Visual Internal Urethrotomy

Malleswari¹,

K²,

Seshapani³

et al. 2015

jebmh

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To study the feasibility of intracorpus spongiosum block (ICSB) in high risk patients for Visual internal urethrotomy. METHODS: Visual Internal Urethrotomy (VIU) for urethral stricture can be performed under various types of anesthesia, including topical anesthesia and ICSB. This descriptive study was conducted in Santhiram medical college and general hospital between July 2013 and Dec 2014. Total number of 30 male patients of high risk group with American Society of Anesthesiologists (ASA) physical status grading 3 and 4 having stricture urethra were treated by VIU under ICSB. VIU was performed with a cold-cutting knife. The effect of this anesthetic technique was evaluated by Numerical Rating Scale (NRS) for pain. Out of the 30 patients five patients have no pain, twenty three patients have mild pain only. CONCLUSION: ICSB is safe and more effective than topical anesthesia alone for providing pain relief during VIU even in high risk patients

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The Safety and Efficacy of Optical Urethrotomy Using a Spongiosum Block With Sedation: A Comparative Nonrandomized Study

Abstract: Optical urethrotomy using a spongiosum block with sedation is as safe and effective as using regional or general anesthesia, particularly in patients who are more ill. The shorter operative time in the local anesthesia group could also make it cost-effective.

Cited by 16 publications

References 17 publications

A report on the clinical efficacy of a new Bougie-internal urethrectomy

A report on the clinical efficacy of a new Bougie-internal urethrectomy

A Randomized Controlled Trial Comparing Combined Spongiosum Block and Intraurethral Lignocaine with Intraurethral Lignocaine Alone in Optical Internal Urethrotomy for Urethral Stricture

A Prospective Study of Efficacy of Intracorpus Spongiosum Block in High Risk Patients for Visual Internal Urethrotomy

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