151. 47: Effect of urethral dilatation on anterior urethral stricture recurrence after internal urethrotomy.
- Author
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ARAH, Hamid, Saleh, F., Rodjani, A., and Donarto, H. R.
- Subjects
URETHROTOMY ,URETHROSCOPY ,URETER diseases ,URETHRA surgery ,URETHRA examination - Abstract
Introduction: The high recurrence rate is still the major complication of internal urethrotomy. Our institutes have a protocol to performe urethral dilatation post internal urethrotomy. The aim is to evaluate the effect urethral dilatation on anterior urethral stricture recurrence after internal urethrotomy. Methods: We classified into 2 groups which are urethral dilatation and observation. Data were collected from 2 public hospital and 3 private hospital. All stricture was anterior, single, and partial obstruction. Urethral dilatation was using a metal sound urethral dilatation and performed every 1-2 weeks for first and second month and once a month after that or if there is any voiding complaints or maximal urine flow rate< 10 mL/s. The criteria for recurrence were indicating the need for urethroscopy, DVIU or open surgery, and/or impossible dilatation. We follow up at least 1 month after DVIU. Results: A total 204 cases can be reviewed, which are 188 had urethral dilatation procedure and only 16 had observation. In urethral dilatation group, we found 4 recurrent cases (2,1%) with mean time of recurrence was 4.3 month. In observation group, we found 9 recurrent cases (56,3%) with mean time of recurrence was 10 month. There was no significant differences in time of recurrence between two groups (P = 0,503). By Kaplan Meier survival analysis, urethral dilatation group had better and longer mean recurrent time. Conclusions: We found a urethral dilatation post internal urethrotomy had beneficial effect for decreasing recurrent complication. [ABSTRACT FROM AUTHOR]
- Published
- 2008