Internal urethrotomy versus plasmakinetic energy for surgical treatment of urethral stricture

  • Levent Ozcan | drleventozcan@yahoo.com Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Emre Can Polat Istanbul Medipol University, Faculty of Medicine, Department of Urology, Istanbul, Turkey.
  • Alper Otunctemur Okmeydani Training and Research Hospital, Department of Urology, Istanbul, Turkey.
  • Efe Onen Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Oğuz Ozden Cebeci Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Omur Memik Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Bekir Voyvoda Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Emre Ulukaradag Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Tayyar Alp Ozkan Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Murat Sener Derince Training and Research Hospital, Department of Urology, Kocaeli, Turkey.
  • Emin Ozbek Okmeydani Training and Research Hospital, Department of Urology, Istanbul, Turkey.

Abstract

Purpose: we aimed to compare the longterm outcome of surgical treatment of urethral stricture with the internal urethrotomy and plasmakinetic energy. Material and Methods: 60 patients, who have been operated due to urethral stricture were enrolled in our clinic. None of the patients had a medical history of urethral stricture. The urethral strictures were diagnosed by clinical history, uroflowmetry, ultrasonography and urethrography. The patients were divided two groups. Group 1 consisted of 30 patients treated with plasmakinetic urethrotomy and group 2 comprised 30 men treated with cold knife urethrotomy. Results: There were no statistically significant differences between two groups in terms of patient age, maximum flow rate (Qmax) and quality of life score (Qol) value. A statistical difference between the two groups was observed when we compared the 3rd-month uroflowmetry results. Group 1 patients had a mean postoperative Qmax value of 16,1 ± 2,3 ml/s, whereas group 2 had a mean postoperative Qmax value of 15,1 ± 2,2 ml/s (p < 0.05). In the cold knife group, 3 of 11 (27,7%) recurrences appeared within the first 3 months, whereas in the plasmakinetic group zero recurrences appeared within the first 3 months in our study. The urethral stricture recurrence rate up to the 12 month period was statistically significant for group 1 (n = 7, 23%) compared with group 2 (n = 11, 37%) (p < 0.05). Conclusion: We believe that plasmakinetic surgery is better method than the cold knife technique for the treatment of urethral stricture.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2015-07-07
Info
Issue
Section
Short Communications - Incontinence & Urodynamics
Keywords:
Internal urethrotomy, Plasmakinetic energy, Urethral stricture
Statistics
  • Abstract views: 1317

  • PDF: 546
How to Cite
Ozcan, L., Polat, E., Otunctemur, A., Onen, E., Cebeci, O., Memik, O., Voyvoda, B., Ulukaradag, E., Ozkan, T., Sener, M., & Ozbek, E. (2015). Internal urethrotomy versus plasmakinetic energy for surgical treatment of urethral stricture. Archivio Italiano Di Urologia E Andrologia, 87(2), 161-164. https://doi.org/10.4081/aiua.2015.2.161

Most read articles by the same author(s)