Transurethral Laser Urethrotomy with Argon Laser: Experience with 900 Urethrotomies in 450 Patients from 1978 to 1993

Hc, Becker; Miller, J.; Hd, Nöske; Jp, Klask; Weidner, W.

doi:10.1159/000282774

Cited by 49 publications

(19 citation statements)

References 10 publications

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“…30 The Ho:YAG laser is also effective in the minimally invasive management of ureterointestinal anastomotic strictures after urinary diversion as well as ureterovesical strictures at anastomosis sites after renal transplant. 47 Razzaghi reported a 19-year-old male patient with urethral stricture that underwent internal urethrotomy with Ho-YAG laser. Total of fibrotic tissues was cut and a 18Fr siliconized Foley catheter passed for the patient.…”

Section: Lower and Upper Urinary Tract Stricturesmentioning

confidence: 99%

Laser Application in Iran Urology: A Narrative Review

Razzaghi

Ghiasy

et al. 2017

J Lasers Med Sci

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The usage of laser in medicine is not recent, and its history in urology goes back to 40 years ago. For the last 2 decades, common uses of laser have been treatments of subjects with urolithiasis, bladder tumors, benign prostatic enlargement, le sions of the genitalia and urinary tract strictures. To evaluate laser application in urology in Iran, we reviewed all of the Iranian literature on the topic. This study was designed to retrieve all studies on laser application in urology in Iran, regardless of publication status or language, covering years 1990-2017. Twentysix articles were identified: 12 about urolithiasis, 8 about benign prostatic hyperplasia (BPH), 2 case reports, 1 paper about prostate cancer, 1 on female urethral stricture, 1 review and 1 basic sciences study. We conclude that the use of this technology has not yet found its position in Iran, especially in the field of urology. The main causes for it are the difficult accessibility and disturb of laser devices and its accessories, as well as the lack of adequate knowledge of the medical community about this modality.

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Section: Lower and Upper Urinary Tract Stricturesmentioning

confidence: 99%

Laser Application in Iran Urology: A Narrative Review

Razzaghi

Ghiasy

et al. 2017

J Lasers Med Sci

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“…It is difficult to compare results of the reported series due to small numbers of patients, various types of laser energy used at different electrical power over time, and varied surgical techniques (simple incision vs circumferential ablation). The available relatively short-term follow-up (0-53 months) show success rates ranging from 36%-52% to 93%-100% [36][37][38] for neodymium:YAG; 69% to 90% for holmium:YAG [39,40]; 59% for KTP-532; and 30% for argon [41,42]. Overall, the available literature suggests similar results to "cold knife" urethrotomy.…”

Section: Endoscopic Laser Visual Urethrotomymentioning

confidence: 84%

Minimally invasive treatment of urethral strictures in men

Latini

2008

Curr Bladder Dysfunct Rep

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“…Currently, the results of laser urethrotomy are mixed and appear to offer no advantage over conventional internal urethrotomy [18]. …”

Section: Discussionmentioning

confidence: 99%

Urethral Balloon Dilatation: Factors Affecting Outcomes

et al. 2016

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Background/Aims/Objectives: The study aims to review our experience with balloon dilatation of urethral strictures and retrospectively analyze predictors of improved success rates. Methods: One hundred and forty-four cases were analyzed from January 2011 to December 2012. Patients underwent balloon dilatation using 6-Fr Balloon dilator set (Cook Urological, Spencer, Ind., USA). Patients analyzed with respect to demography, uroflowmetry (Qmax) and need for auxiliary procedures in the immediate postoperative period, at 6 months and at 1 year. Comparisons were made between those who performed self-calibration against those who did not. Results: Overall success rate of balloon dilatation in our study was 84.4%. Procedural failure was observed with 3 patients (2.1%). Auxiliary procedure was required in 21 cases (15.6%) during follow-up. The mean Qmax (ml/s) in those who regularly performed self-calibration (n = 73) and in those who did not perform self-calibration (n = 39) in the immediate postoperative period, at 6 months and at 1 year were 24.2 ± 10.5, 16.5 ± 7.5, 14.4 ± 6.3 and 21.2 ± 10.6, 14.5 ± 7, 10.8 ± 5.6, respectively. Statistical significance was noted at 1 year (p = 0.003). Lesser re-treatments were required in those who performed self-calibration (12.3 vs. 20.5%). Improved success rates were noted with focal and bulbar strictures. Iatrogenic strictures and pan-anterior urethral strictures had poor outcomes despite self-calibration. Conclusions: Balloon dilation with self-calibration significantly improves flow rates at 1 year and lessens auxiliary procedures required. It is simple, easy to perform under local anesthesia and repeatable in case of re-strictures.

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Transurethral Laser Urethrotomy with Argon Laser: Experience with 900 Urethrotomies in 450 Patients from 1978 to 1993

Cited by 49 publications

References 10 publications

Laser Application in Iran Urology: A Narrative Review

Laser Application in Iran Urology: A Narrative Review

Minimally invasive treatment of urethral strictures in men

Urethral Balloon Dilatation: Factors Affecting Outcomes

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