ROLE OF INTERNAL URETHROTOMY IN TRANSURETHRAL RESECTION OF PROSTATE (TURP)

Objective: To see the benefit of internal urethrotomy before TURP for preventing urethral stricture formation.Material and Methods: The study was conducted on two hundred patients undergoing TURP. Half of them had internal urethrotomy at 12oʹ clock position before the insertion of resectoscope sheath. These patients were followed for 1 year for evidence of Urethral Stricture formation.Result: Sixteen patients in Group A who did not have OTIS-Urethrotomy prior to TURP develop Urethral stricture with in 1 year compared to only 5 patient in Group-B.Conclusion: Routine use of internal Urethrotomy is beneficial in reducing the incidence of urethral stricture formation after TURP.