Laser vs optical urethrotomy for urethral stricture

Mahmood Shakir Abdulkarim Karbalaie

doi:10.33762/bsurg.2021.131829.1013

Abstract

A urethral stricture is a scar of the subepithelial tissue of the corpus spongiosum that constricts the urethral lumen. As the constriction increases, obstruction occurs and leads to symptoms which may be related to the obstruction or secondary to it(1). (Figure 1). The term stricture usually used for constrictions of the anterior urethra. Otherwise in the posterior urethra the terms stenosis or contracture are applied(2). The site and the age of the patient may give a hint about the cause of the stricture. For example, Meatal strictures may be caused by lichen sclerosis (the most common identifiable cause of anterior urethral stricture in young adults), and instrumentation or poor hygiene at any age(2) A urethral stricture is a scar of the subepithelial tissue of the corpus spongiosum that constricts the urethral lumen. As the constriction increases, obstruction occurs and leads to symptoms which may be related to the obstruction or secondary to it(1). (Figure 1). The term stricture usually used for constrictions of the anterior urethra. Otherwise in the posterior urethra the terms stenosis or contracture are applied(2). The site and the age of the patient may give a hint about the cause of the stricture. For example, Meatal strictures may be caused by lichen sclerosis (the most common identifiable cause of anterior urethral stricture in young adults), and instrumentation or poor hygiene at any age(2).

Highlights

Aurethral stricture is a scar of the subepithelial tissue of the corpus spongiosum that constricts the urethral lumen
The patients were divided to two groups in the study, Laser group of 15 patients mean age (43.2) and cold knife group of 15 patients with mean age (46.9). (Table2)
Regarding the cause of stricture, the cause is iatrogenic in 11 patients, traumatic in 10 patients, infectious in 5 and unknown in 4 patients which were subdivided into two groups without significant difference (Table 3)

Summary

Introduction

Aurethral stricture is a scar of the subepithelial tissue of the corpus spongiosum that constricts the urethral lumen. Obstruction occurs and leads to symptoms which may be related to the obstruction or secondary to it 1 (Figure 1). The term stricture usually used for constrictions of the anterior urethra. Otherwise in the posterior urethra the terms stenosis or contracture are applied. The site and the age of the patient may give a hint about the cause of the stricture. Meatal strictures may be caused by lichen sclerosis (the most common identifiable cause of anterior urethral stricture in young adults), and instrumentation or poor hygiene at any age 2

Methods

Results

Discussion

Conclusion