The Journal of Urology
Volume 183, Issue 5 , Pages 1859-1862 , May 2010

Urethrotomy Has a Much Lower Success Rate Than Previously Reported

  • Richard Santucci

      Affiliations

    • Corresponding Author InformationCorrespondence: Department of Urology, Detroit Medical Center, 4160 John R, Suite 1017, Detroit, Michigan 48201 (telephone: 313-745-1712; FAX: 313-745-8222)
  • ,
  • Lauren Eisenberg

Received 21 September 2009

References 

  1. Greenwell TJ, Castle C, Andrich DE, et al. Repeat urethrotomy and dilation for the treatment of urethral stricture are neither clinically effective not cost-effective. J Urol. 2004;172:275
  2. Naude AM, Heyns CF. What is the place of internal urethrotomy in the treatment of urethral stricture disease?. Nat Clin Pract Urol. 2005;2:538
  3. Bullock TL, Brandes SB. Adult anterior urethral strictures: a national practice patterns survey of board certified urologists in the United States. J Urol. 2007;177:685
  4. Heyns CF, Steenkamp JW, De Kock ML, et al. Treatment of male urethral strictures: is repeated dilation or internal urethrotomy useful?. J Urol. 1998;160:356
  5. Pansadoro V, Emiliozzi P. Internal urethrotomy in the management of anterior urethral strictures: long-term followup. J Urol. 1996;156:73
  6. Morey A. Urethral stricture is now an open surgical disease. J Urol. 2009;181:953
  7. Wessells H. Cost-effective approach to short bulbar urethral strictures supports single internal urethrotomy before urethroplasty. J Urol. 2009;181:954
  8. Santucci RA. Male urethral stricture disease. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases In:  Litwin MS,  Saigal CS editor. Urologic Diseases in America. Washington, D.C: US Government Publishing Office; 2007;p. 531–532NIH publication No. 07-5512
  9. Rourke KF, Jordan GH. Primary urethral reconstruction: the cost minimized approach to the bulbous urethral stricture. J Urol. 2005;173:1206
  10. Smith PJ, Roberts JB, Ball AJ, et al. Long-term results of optical urethrotomy. Br J Urol. 1983;55:698
  11. Roehrborn CG, McConnell JD. Analysis of factors contributing to success or failure of 1-stage urethroplasty for urethral stricture disease. J Urol. 1994;151:869

 Study received institutional review board approval.

 Nothing to disclose.

 Editor's Note: This article is the fifth of 5 published in this issue for which category 1 CME credits can be earned. Instructions for obtaining credits are given with the questions on pages 2104 and 2105.

PII: S0022-5347(10)00021-2

doi: 10.1016/j.juro.2010.01.020

The Journal of Urology
Volume 183, Issue 5 , Pages 1859-1862 , May 2010