Abstract
ABSTRACTOptical internal urethrotomy (OIU) is the most common procedure performed for short segment bulbar urethral stricture worldwide. This procedure most commonly performed using Sachse’s cold knife. Various perioperative complications of internal urethrotomy have been described in literature including bleeding, urinary tract infection, extravasation of fluid, incontinence, impotence, and recurrence of stricture. Here we report a unique complication of breakage of Sachse knife blade intraoperatively and its endoscopic management.
Highlights
Optical internal urethrotomy (OIU) is the most common procedure performed for short segment bulbar urethral stricture worldwide [1]
Various perioperative complications of internal urethrotomy have been described in literature, including bleeding, urinary tract infection, extravasation of fluid, incontinence, impotence, and recurrence of stricture [5]
We report a unique complication of breakage of Sachse knife blade intraoperatively and its endoscopic management
Summary
Optical internal urethrotomy (OIU) is the most common procedure performed for short segment bulbar urethral stricture worldwide [1]. Its success rate is variable, and ranges from 35-60% [2, 3] This procedure is most commonly performed using Sachse’s cold knife [4], recently lasers have been introduced in the urological armamentarium for internal urethrotomy. Various perioperative complications of internal urethrotomy have been described in literature, including bleeding, urinary tract infection, extravasation of fluid, incontinence, impotence, and recurrence of stricture [5]. We report a unique complication of breakage of Sachse knife blade intraoperatively and its endoscopic management. Retrograde urethrography (RGU) revealed a short segment bulbar urethral stricture (
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