suggested that precalibrating the urethra to 30 Fr with an Otis urethrotome
might decrease the incidence of urethral stricture.
The procedure was performed by using 21 Fr urethrotome
which was passed into the urethra up to the level of stricture and stricture was incised at five, seven and 12 o'clock with the help of cold knife till urethrotome
under the guidance of a metallic guide wire till urethrotome
reached into the urinary bladder.
An Otis urethrotome
was used and the urethra calibrated to 26 F.In Group-I only one transurethral entry was made throughout the entire procedure via resectoscope in all patients.
Also, use of otis urethrotome
over a guidewire could be an alternative solution.
Operating time was calculated from insertion of cystoscope into meatus to the removal of urethrotome
or laser fibre with the cystoscope out of meatus.
The urethrotomy incision is made at the 12, o'clock, or at the 3 and 9 o'clock positions with a cold-knife urethrotome
. Given the high rate of recurrence rates with minimally-invasive techniques and the overall superior outcomes of surgical reconstruction, we attempted an endoscopic urethrotomy only once, and if unsuccessful, we progressed directly to surgical reconstruction (urethroplasty) in appropriately selected men, rather than multiple, repeated endoscopic procedures.
(1) Maisonneuve (1854) and Otis (1872) developed the urethrotome
to cut the strictured part of the urethra.
Tenders are invited for Supply, Installation and Maintenance of Medical Equipment Urethrotome
with accessories at Medical Centre, Monrovia in Liberia.