Surgical treatment of urethral stricture

Otis internal urethrotomy in the treatment of urethral stricture disease

Internal urethrotomy was done on 216 urethral strictures in 192 patients at our medical centers from 1969 to 1978. Of these cases 71 per cent were treated successfully, with a 12 per cent complication rate. Results were analyzed separately for different characteristics of the strictures and for several methods of internal urethrotomy. It is concluded that nearly all types of strictures can be treated by internal urethrotomy, with a reasonable rate of success and a minimum of morbidity.

The treatment of urethral stricture disease by internal urethrotomy: a clinical review

The results of internal urethrotomy with 6 weeks of postoperative catheter drainage and antimicrobial therapy in the treatment of urethral strictures in 28 patients are presented. Satisfactory results were obtained in 68 per cent of the patients. Because of the simplicity of this technique and the good results obtained we believe that internal urethrotomy often is the best initial approach to strictures that become difficult to manage by periodic dilation.