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The Role of Internal Urethrotomy in the Prevention of Urethral Stricture following Transurethral Resection of Prostate
Author(s) -
BAILEY M. J.,
SHEARER R. J.
Publication year - 1979
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1979.tb04240.x
Subject(s) - urethral stricture , medicine , resection , transurethral resection of the prostate , prostate , urethrotomy , urology , urethra , surgery , cancer
SUMMARY— Urethral stricture is the commonest late complication of transurethral prostatectomy. Although internal urethrotomy is widely practised to prevent strictures, there are no reports of any controlled trials of the procedure. A prospective trial of internal urethrotomy, using the Otis urethrotome, in 210 consecutive transurethral prostatectomies is presented. Patients were divided into 2 groups, those undergoing urethrotomy before TUR (“Trial group”) and those undergoing TUR without urethrotomy (“Control group”), and they were followed for a minimum of 6 months. The incidence of stricture in the control group was significantly greater than in the trial group ( P <0.01. Analysis of all other variables revealed no difference between the 2 groups and it is concluded that internal urethrotomy does prevent stricture formation and that it should be undertaken routinely before transurethral resection.