Urethral dilation with direct view as treatment of urethral stenosis. Substitute for the internal urethrotomy?

2016 ◽  
Vol 15 (8) ◽  
pp. 373
Author(s):  
Pascual E.J. Moran ◽  
Solchaga G. Morales ◽  
García M.A. Bonillo ◽  
Redon A. Benedicto ◽  
Rico E. Broseta ◽  
...  
Keyword(s):  
Internal Urethrotomy ◽  
Urethral Stenosis ◽  
Direct View ◽  
Urethral Dilation

scholarly journals EFFECT OF URETHRAL DILATION ON ANTERIOR URETHRAL STRICTURE RECURRENCE AFTER INTERNAL URETHROTOMY IN MALES

2013 ◽  
Vol 20 (1) ◽  
Author(s):  
Edhi Hapsari ◽  
Agus Rizal AH Hamid ◽  
Arry Rodjani ◽  
Firdaoessaleh Firdaoessaleh ◽  
Danarto HR
Keyword(s):  
Urethral Stricture ◽  
Low Flow ◽  
P Value ◽  
Internal Urethrotomy ◽  
Time To Recurrence ◽  
Kaplan Meier ◽  
Dilation Group ◽  
Stricture Recurrence ◽  
Mean Time ◽  
Urethral Dilation

Objective: The aim is to evaluate the effect of urethral dilation on anterior urethral stricture recurrences after direct vision internal urethrotomy (DVIU). Material & Method: Patients were classified into 2 groups after internal urethrotomy for urethral dilation or observation. All strictures included were anterior, single, and causing partial obstruction. Urethral dilation was performed using a metal sound. This procedure was performed every 1 or 2 weeks in the first and second month after operation and then once a month for 1 year or in case of voiding complaints or low flow rate (< 10 mL/s). Follow up at least until 1 year after DVIU. Results: A total of 32 cases could be reviewed, of which are 21 had urethral dilation and 11 observation only. In the urethral dilation group, we found 4 recurrences (19%) with mean time to recurrence 10,52 months. In the observation group, we found 7 recurrent cases (63,63%) with a mean time to recurrence of 8,09 months. P value is 0,02 which means urethral dilation significantly decreased the chance of stricture recurrence. By Kaplan Meier survival analysis, urethral dilation had a better and longer time to recurrence. Conclusion: In this study, regular meatal dilation is proven to prolong the time to recurrence of an anterior urethral stricture after DVIU. Keywords: Urethral dilation, anterior urethral stricture, stricture recurrence.

443: Can Self-Calibration Prevent Urethral Stricture Recurrence Following Direct Visual Internal Urethrotomy?

2005 ◽  
Vol 173 (4S) ◽  
pp. 121-121
Author(s):  
Hari Siva Gurunadha Rao Tunuguntla ◽  
P.V.L.N. Murthy ◽  
K. Sasidharan
Keyword(s):  
Urethral Stricture ◽  
Internal Urethrotomy ◽  
Self Calibration ◽  
Stricture Recurrence

scholarly journals Intermittent Self Dilation – An Option For The Prevention of Urethral Stricture Recurrence After Filliform Follower Urethral Dilation

2018 ◽  
Vol 14 (2) ◽  
pp. 38-40
Author(s):  
N M Shrestha
Keyword(s):  
Urethral Stricture ◽  
Clinical Symptoms ◽  
Urine Test ◽  
Group A ◽  
Prospective Comparative Study ◽  
Foley’S Catheter ◽  
Group B ◽  
Stricture Recurrence ◽  
Urethral Dilation ◽  
Lower Urinary

Background: Urethral stricture and its recurrence is still a major problem in male. Several procedures are present for the treatment of the disease. Lapides introduced the concept of intermittent self dilatation (ISD) which has decreased the incidence of recurrence of urethral stricture if doing properly. The aim of the this study was to report the outcomes of ISD for the treatment of urethral stricture after Filliform follower urethral dilatation (FFUD).Method: This was a prospective comparative study, conducted in the department of surgery, urology unit from March 2013 to February 2016. Total of 49 patients were enrolled and were randomly divided into Group A and Group B. In Group A, all the patients were taught ISD with Nelaton Catheter after FFUD. In group B, all patients underwent only FFUD for urethral stricture. In both groups, Foley's catheter was removed after 2 weeks of FFUD. These patients who had difficulty In passing urine or having lower urinary tract syndrome after removal of catheter, were evaluated for urethral stricture recurrency by clinical symptoms, ultrasonography, urine test for culture and sensitivity, cystoscopy/urethrogram as necessarily.Result: In Group A, 4 patients out of 20(20%)developed urethral stricture recurrency where as in Group B,18 patients out of 23 (78.26%) developed urethral stricture recurrency. Therefore, the rate of urethral stricture recurrence is significantly more in group B than the Group A (p< 0.001).Conclusion: ISD is an effective way for the prevention of urethtral stricture recurrence after FFUD. JNGMC,  Vol. 14 No. 2 December 2016, Page: 38-40

scholarly journals The Alexis® system for laparoscopic splenectomy in pediatric patients

2021 ◽  
Author(s):  
Emanuele Trovalusci ◽  
Marco Gasparella ◽  
Cristina Pizzato ◽  
Paola Midrio
Keyword(s):  
Idiopathic Thrombocytopenic Purpura ◽  
Epidermoid Cyst ◽  
Laparoscopic Splenectomy ◽  
Pediatric Patients ◽  
Organ Size ◽  
Spleen Size ◽  
Thrombocytopenic Purpura ◽  
Direct View ◽  
Patient Organ ◽  
Retrieval Bag

AbstractThe laparoscopic splenectomy in pediatric patients is performed worldwide but often the disproportion between size of patients and size of organs requires an extra laparotomic access for spleen removal. The aim of the present study was to evaluate the safety and effectiveness of the Alexis® system to retrieve the spleen without additional laparotomic access. The charts of all patients who underwent splenectomy at our center during the last 5 years were retrieved. In all the cases the Alexis® system was placed in the umbilicus, thru which a 10 mm camera was inserted. Three additional 5 mm standard trocars were inserted. Seven patients, affected by spherocytosis (3), epidermoid cyst (2), idiopathic thrombocytopenic purpura (2) and thalassemia (1), underwent laparoscopic splenectomy at a median age of 10 years (range: 8–17). Median patients’ weight was 32.5 kg (range: 25–71) and spleen size 15 cm (11–18). In all the cases, upon removal of the camera, the retrieval bag was inserted thru the umbilicus under direct view, the spleen retrieved, morcellated, and removed. No conversion nor enlargement of one of the ports nor an extra laparotomic access were required. The patients were discharged on the fifth post-operative day and the cosmetic results were excellent. Removal of the spleen can be safely performed without any additional laparotomy thru the Alexis® system placed in the umbilicus. This system is effective also in case of major patient/organ size disproportion and the final cosmetic aspect is excellent.

Efficacy and Incontinence Rates After Urethroplasty for Radiation-Induced Urethral Stenosis: A Systematic Review and Meta-Analysis

Urology ◽  
2021 ◽  
Author(s):  
Lucas Gomes Sapienza ◽  
Matthew Stephen Ning ◽  
Emanuel de Freitas Carvalho ◽  
Daniel Spratt ◽  
Vinícius Fernando Calsavara ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Urethral Stenosis ◽  
Radiation Induced
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