MANAGEMENT OF STRICTURE URETHRA BY INTERNAL OPTICAL URETHROTOMY

Transuretheral urethrotomy under vision with the Sachse urethrotome is a relatively new surgical procedure for the treatment of urethral strictures. The main advantage of the urethrotome is the fact that the surgeon can cut strictures selectively and accurately under clear vision. The procedure is less painful than blind internal urethrotomy. We report on 105 cases with at least 12 months of follow up. in 47(45%) cases the strictures were in membranous and prostatic urethra, in 39(37%) in bulbar urethra and in 19(18%) in penile urethra. The results were considered good in 79(75%), improved in 21(20%) and a failure in 5(5%). The technique for urethral strictures is described and postoperative treatment is emphasized and discussed. We have found this technique a further improvement in the management of urethral strictures.