Of these, 84 were identified for urethroplasty and 102 for internal urethrotomy
none of the patients in either group had undergone urethrotomy
or re-operation or had initiated alpha blocker therapy.
Another complex group of patients undergoing posterior urethroplasty are recurrent cases with a history of multiple failed endoscopic urethrotomy
is good for short, single and primary stricture.
Whereas urethroscopic lithotripsy is the first choice for all urethral stones, external urethrotomy
is recommended for large, impacted anterior urethral stones, along with urethral strictures and diverticula.
The patient had undergone a posterior urethral valve ablation procedure 12 months prior to presentation; 2 months after that, the patient underwent an internal urethrotomy
procedure for urethral stenosis in the bulboprostatic urethra, which was considered to be related to the previous posterior urethral valve ablation.
There are many treatment options for recurrent urethral strictures, including internal urethrotomy
, intermittant urethral dilatation and open urethroplasty.
is preferred if the length is less than 1 cm, and a urethroplasty is indicated when the length is greater than 1 cm.
Urethroplasty was performed in one of 3 patients who had stenosis following the repair of posterior urethra and complete recovery was obtained, internal urethrotomy
was performed in the second patient.
4] There has also been a report of successful outcomes in a retrospective review of 18 cases in which recurrent bladder neck contractures were managed with urethrotomy
and intralesional injection of mitomycin C.
Two patients underwent internal urethrotomy
at the postoperative sixth and ninth months.
At four months after RP, he experienced a recurrence of the stricture, which was treated with direct vision internal urethrotomy
(VIU) and self-catheterization (insertion an 18 French catheter daily).