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Unravelling the Role of Internal Optical Urethrotomy in Male Urethral Stricture Management

Amr Mohamed Mounier Elsofy

Abstract: Background and aim: Male urethral stricture is still regarded as one of the most common and perplexing urological problems. Dilation, endoscopic urethrotomy, and urethroplasty are all options for treatment, however internal optical urethrotomy has a faster recovery time, less scarring, and a decreased risk of infection. The purpose of this study was to see how effective internal optical urethrotomy was in treating patients with urethral stricture. Materials and Methods: Between August 2020 and May 2021, the author at National institute of urology and nephrology, Cairo, Egypt, conducted this research. Internal ocular urethrotomy was used to treat a group of 18 male patients aged 22 to 51 who had urethral strictures. The follow-up time was between one and two months. The outcome was given a good, fair, or bad rating. Results: 44.44 % of the 18 patients were between the ages of 45 and 51. Trauma was the most common cause of stricture in 8 (44.4%) of patients, and poor urination was the most common presenting symptom in 6 (33.3%). The bulbous urethra was found to be the most common region of restriction in 9 (50%), followed by the penile urethra in 6 (33.3%) cases. The overall response rate was good in 12 individuals (66.7%). Only urethral hemorrhage was observed in 2 (11.1%) of the patients after surgery, with no additional significant problems. Conclusion: Internal optical urethrotomy is a dependable and effective procedure in treating urethral stricture.
Keywords: urethral stricture / internal optical urethrotomy / treatment

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