[Transurethral thulium laser urethrotomy for urethral stricture].
Zhonghua Nan Ke Xue
; 17(9): 832-4, 2011 Sep.
Article
em Zh
| MEDLINE
| ID: mdl-21961248
ABSTRACT
OBJECTIVE:
To evaluate the effect of endourethrotomy with thulium laser as a minimally invasive treatment for urethral stricture.METHODS:
We treated 36 cases of urethral stricture or atresia by endourethrotomy with thulium laser, restored the urethral continuity by vaporization excision of the scar tissue, and observed the clinical effects and complications.RESULTS:
The mean operation time was 35 min, ranging from 10 to 90 min. Smooth urination was achieved after 2-6 weeks of catheter indwelling, with no urinary incontinence. The patients were followed up for 4-24 (mean 12) months, during which 27 did not need any reintervention, 5 developed urinary thinning but cured by urethral dilation, 3 received another laser urethrotomy for previous negligence of timely urethral dilation, and the other 1 underwent open urethroplasty.CONCLUSION:
Thulium laser urethrotomy is a safe and effective minimally invasive option for short urethral stricture, which is also suitable for severe urethral stricture and urethral atresia. Its short-term outcome is satisfactory, but its long-term effect remains to be further observed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estreitamento Uretral
/
Ureteroscopia
/
Terapia a Laser
Tipo de estudo:
Evaluation_studies
Limite:
Adult
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Nan Ke Xue
Assunto da revista:
MEDICINA REPRODUTIVA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
China