The purpose of this study is to determine whether laser internal urethrotomy (IU) is as efficient as cold knife internal urethrotomy for treatment of anterior urethral strictures regarding post operative urination outflow, stricture recurrence rate and possible post- operative complications
The current surgical treatment for anterior urethral stricture includes internal urethrotomy (IU) by cold knife. Recurrence rate after such procedure is quoted as 35-70% in 2 to 5 years follow-up. Possible surgical alternative procedures include: open surgical urethral re-construction, urethral stents usage \& laser IU. According to existing data (Nd-YAG laser- retrospective) the recurrence rate after laser IU is far better comparing to cold knife urethrotomy. The current research intends to address this question using prospective randomized methods.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
surgical incision of urethral stricture using endoscopic cold knife vs. endoscopic laser
Sheba_Medical_Center
Ramat Gan, Israel
RECRUITINGpost operative clinical & imaging signs of urinary outflow obstruction or partial obstruction
Urethral stricture \& urinary flow will be assessed by physical examination, urethrography, cystoscopy, sonographic bladder scan for urine rest, urine flowmetry \& clinical questionnaire (IPSS).
Time frame: up to 2 years
post operative complications
Complications such as urinary tract infection (UTI), bladder outlet obstruction (BOO), catheter re-insertion \& re-operations will be assessed.
Time frame: up to 2 years
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