OPTICAL URETHROTOMY IN STRICTURES FOLLOWING FRACTURE PELVIS
Abstract
Background: Management of posterior urethral injuries with pelvic fracture remains a majorcontroversy and has always been a challenge to urologists. Objective of this study was to see the
outcome of optical internal urethrotomy in treatment of urethral strictures following fracture
pelvis. Methods: This prospective study was conducted at the Urology Department, Lady Reading
Hospital, Peshawar from January 2007 to July 2008. A total of 45 male patients (20-60 years of age)
and having urethral strictures following fracture pelvis were treated with internal optical urethrotomy.
Follow-up ranged from 3 months to 1 year. Results: Fracture pelvis resulting from the road traffic
accident, was the cause of urethral stricture. The good and fair results of internal optical urethrotomy
were 68.56% patients who were treated with single internal optical urethrotomy. Internal optical
urethrotomy was repeated in 22.86% of patients. Clean intermittent self urethral dilatation was applied
as adjuvant treatment to prevent recurrence of stricture for variable period ranging from 1 to 3 months.
Conclusion: Internal optical urethrotomy is safe and effective procedure for short yet inaccessible
strictures from the perineum.
Keywords: Pelvic Fracture, Stricture urethra, Internal optical urethrotomy, outcome, dilatation
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