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[Transurethral thulium laser urethrotomy for urethral stricture]. | LitMetric

[Transurethral thulium laser urethrotomy for urethral stricture].

Zhonghua Nan Ke Xue

Department of Urology, The Fourth Hospital of China Medical University, Shenyang, Liaoning 110032, China.

Published: September 2011

AI Article Synopsis

  • The study aimed to assess the effectiveness of thulium laser endourethrotomy as a minimally invasive treatment for urethral stricture.
  • A total of 36 cases were treated, with operations averaging 35 minutes, after which patients reported smooth urination and few complications over 4-24 months of follow-up.
  • The results suggest that this laser technique is a safe and effective option for treating short urethral strictures, though more research is needed to evaluate its long-term effects.

Article Abstract

Objective: To evaluate the effect of endourethrotomy with thulium laser as a minimally invasive treatment for urethral stricture.

Methods: We treated 36 cases of urethral stricture or atresia by endourethrotomy with thulium laser, restored the urethral continuity by vaporization excision of the scar tissue, and observed the clinical effects and complications.

Results: The mean operation time was 35 min, ranging from 10 to 90 min. Smooth urination was achieved after 2-6 weeks of catheter indwelling, with no urinary incontinence. The patients were followed up for 4-24 (mean 12) months, during which 27 did not need any reintervention, 5 developed urinary thinning but cured by urethral dilation, 3 received another laser urethrotomy for previous negligence of timely urethral dilation, and the other 1 underwent open urethroplasty.

Conclusion: Thulium laser urethrotomy is a safe and effective minimally invasive option for short urethral stricture, which is also suitable for severe urethral stricture and urethral atresia. Its short-term outcome is satisfactory, but its long-term effect remains to be further observed.

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