Abstract
Substitution urethroplasty or anastomotic urethroplasty for bulbar urethra strictures? Or endoscopic urethrotomy? Opinion: Endoscopic Urethrotomy.
Highlights
Urethral stricture is one of the most difficult urological problems to heal adequately and many surgical and no surgical techniques have been described to its management
The most common minimally invasive procedures used for anterior urethral strictures managing were urethral dilation (92.8%), cold-knife optical internal urethrotomy (85.6%), endourethral stents (23.4%), laser urethrotomy (19%), and periurethral steroid injection after urethrotomy (7.9%) [4]
In our practice we found that ultrasound can be used as a complementary method to the retrograde and voiding urethrogram in selecting patients for an internal urethrotomy
Summary
Urethral stricture is one of the most difficult urological problems to heal adequately and many surgical and no surgical techniques have been described to its management. Since this description by Sachse, the direct vision internal urethrotomy (DVIU) became one of the most popular treatments on the management of urethral strictures. During the 80’s and 90’s decades, many authors have published very interesting rates of success for the endoscopic management of anterior urethral strictures and helped to popularize this method in this period.
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