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The Meatal Problem with TUR Prostate: the Value of Post ‐ operative Self ‐ dilatation
Author(s) -
Walton J. K.,
Wright W. L.,
Robinson R. G.,
Nacey J. N.
Publication year - 1984
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.1984.tb05361.x
Subject(s) - value (mathematics) , prostate , medicine , mathematics , statistics , cancer
Summary— In a preliminary retrospective study, we found that 37% of patients about to undergo a transurethral resection of the prostate had an external meatus too small to admit a 26 F resectoscope sheath. In a prospective study, a formal meatotomy was compared with an Otis urethrotomy for patients with narrow meatus. This study was stopped because 71% of cases having a meatotomy developed strictures compared with 29% having an internal urethrotomy. In a further study of 59 patients, regular self ‐ dilatation of the meatus with a plastic spigot was compared with internal urethrotomy of the meatus alone. Seven per cent of cases having self ‐ dilatation developed strictures compared with 34% having internal urethrotomy. It was concluded that in those patients with a narrow external meatus meatotomy should not be carried out, but self ‐ dilatation following internal urethrotomy greatly reduces the incidence of meatal strictures.