The Long-term Effect of Uretral Dilatation Therapy Combined with Steroid After Internal Urethrotomy
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Original Investigation
P: 84-86
July 2013

The Long-term Effect of Uretral Dilatation Therapy Combined with Steroid After Internal Urethrotomy

GMJ 2013;24(3):84-86
1. Gazi University, Faculty of Medicine, Department of Urology, Ankara, Turkey
2. Ankara Dışkapı Yıldırım Beyazıt Education and Research Hospital Department of Urology, Ankara, Turkey
3. Ankara Dışkapı Yıldırım Beyazıt Education and Research Hospital Department of Microbiology, Ankara, Turkey
No information available.
No information available
Received Date: 14.09.2013
Accepted Date: 30.09.2013
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ABSTRACT

Objective:

To present the long-term results of hydrophilic dilatation catheter or steroid-coated hydrophilic dilatation catheter usage in the management of primary urethral stricture

Methods:

Forty-one male patients with a diagnosis of primary urethral stricture shorter than 1.5 cm and no comorbities were included in this study. After application of internal uretrotomy, these patients were randomized into two groups. A steroid-coated (triamcinolone acetonide (1%) 18F hydrophilic dilatation catheter was applied to the patients in group 1 for 2 weeks and an 18F hydrophilic dilatation catheter was applied to the patients in group 2 for 2 weeks, and catheters were removed after 3 days. Uroflowmetry and recurrence rate was used in postoperative follow-ups

Results:

Mean patient age were respectively 45.1±8.0 and 47±8.8(68-29) years. Urethral stricture length was evaluated for group 1 7.4±4.0 mm and group 2 7.8±4.3 mm p:0.79. All patients uroflowmetry value (Q max) were followed up on 6,12,24 and 36 month and results were evaluated. Recurrence of urethral stricture was determined in 3 (13%) patients in group 1, and 3 (15%) patients in group 2 (p<0.05) and statisticaly significant

Conclusions:

As an adjuvant treatment, this method is effortless, low in complications, and hopeful. Certainly, application to larger patient populations is needed to objectively accept its eff

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