• Mohammad Islam
  • Farid Anwar
  • Sajjad Ahmed
  • Azaz Ali


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 theoutcome of optical internal urethrotomy in treatment of urethral strictures following fracturepelvis. Methods: This prospective study was conducted at the Urology Department, Lady ReadingHospital, 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 trafficaccident, was the cause of urethral stricture. The good and fair results of internal optical urethrotomywere 68.56% patients who were treated with single internal optical urethrotomy. Internal opticalurethrotomy was repeated in 22.86% of patients. Clean intermittent self urethral dilatation was appliedas 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 inaccessiblestrictures from the perineum.Keywords: Pelvic Fracture, Stricture urethra, Internal optical urethrotomy, outcome, dilatation


Albert P, Fichtuer J, Bruhl P, Muller SC. Long term results of

internal urethrotomy. J Urol 1996:156:611–4.

Bhargava, Campbell’s Text Book of Urology, 9th edition

Philadelphia: Sunders; 2004.p.1054.

Goel Mc, Mumar M, Kapoor R, Endoscopic Management of

Traumatic posterior urethral stricture and follow up. J Urol


al-Ali M, al-Shukry MA, Endoscopic repair in 154 cases of

urethral occlusion: The promise of guided optical

reconstruction. J Urol 1997;157:129–31.

Sachse H. Treatment of urethral stricture: Transurethral slit in

view using sharp section. Fortschr Med 1974;92:12–5.

Angermeier KW. Urethral Injury. In: Renick MI, Novick AC

editors. Urology secrets, 1st ed. New Delhi: Jaypee Brothers;

p. 229–31.

Tanago EA, McAnincch JW (Editors). Smith’s General

Urology, 17th edition. USA: Mac Grow Hill; 2009. p. 634.

Ali MN. Experience with cold knife optical internal urethrotomy.

J Coll Physicians Surg Pak 2001;11:693–5.

J Ayub Med Coll Abbottabad 2010;22(4)


Bandhaner K, Pffenninger R, one stage urethral repair with end

to end anastomosis. Urology 1992;31;262–6.

Turner-Warrwick R. The use of the omental pedicle graft in

urinary tract reconstruction. Trans Am Assoc Genitourin Surg


Blandy J. Operation on the male urethra. In: Operative

urology.2nd ed. Oxford: Blackwell Scientific Publication;1991.


Osterlink W. End to end anaostomosis of urethra Ann Urol Paris


Smith PJ, Roberts JB, Kaisary AV. Long term results of optical

urethrotomy. Br J Urol 1983;55:698–700.

Husmann DA. Wilson WT, Allen TD, Boon TB,

Prostatomembranous Urethral Disruption.Management by

suprapubic cystostomy and delayed urethroplasty. J Urol


Kaleem M. Optical urethrotomy in the treatment of completely

obliterated stricture urethra: Pak Med J 1997;20:28–33.

Aziz A, Tasson W, Ismail A, Wishahi M, Bilharz T. Endoscopic

reconstruction of traumatic posterior urethral obliterated: Late

versus early reconsruction. Br J Urol 1997;80:313–5.

Munks DG, Alli MO, Goad EH. Optical urethrotomy under local

anaesthesia is a feasible option in urethral stricture disease. Trop

Doct 2010;40:31–2.

Qureshi KH, Ahmed R, Ahmed Q. Role of clean intermittent

self-catheterization (CISC) after internal optical urethrotomy in

preventing recurrence of urethral stricture. Pak J Med Res


Ather MH, Zehri AA, Soomro K, Nazir I. The Safety and

Efficacy of Optical Urethrotomy Using a Spongiosum Block

With Sedation: A Comparative Nonrandomized Study; J Urol


Mark SD. Kenone TE, Vandmark RM, Vesbter GD. Impotence

following pelvic fracture urethral injury incidence, etiology and

management. Br J Urol 1995;75:62–4.

Podesta ML. Use of the perineal and peri-abdominal (Transpubic)

approach for delayed management of pelvic fracture, urethral

obliterated stricture in children long term outcome. J Urol


Martinez-Pineiro JA, Carcamo P, Garcia Matres MJ, Martinez P,

et al. Traumatic repair for urethral stricture disease experience

with 150 cases. Eur Urol 1997;32:433–41.

Corriere JN. 1-stage delayed bulboprostatic anastomotic repair of

posterior urethral Rupture, 60 patients with 1-year follow up. J

Urol 2001;165:404–7.

Koraitim MM, Reda S1. Role of magnetic resonance imaging in

assessment of posterior urethral distraction defects. Urology


Gibson GR. Impotence following fractured pelvis and ruptured

urethra.Br J Urol 1970;42:86–8.



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