Document Detail

Posterior urethral obliteration treated by endoscopic reconstitution, internal urethrotomy and temporary self-dilation.
MedLine Citation:
PMID:  8455239     Owner:  NLM     Status:  MEDLINE    
Five patients with complete posterior urethral obliteration (less than 3 cm.) underwent endoscopic reconstitution of the urethra followed by planned direct vision internal urethrotomy and temporary self-dilation. Of these patients 3 complied with the treatment regimen and are currently free of voiding complaints (average followup 31 months), while 2 failed to perform self-dilation and required repeat internal urethrotomy. Of the latter 2 patients 1 then performed self-dilation and has a stable urethra (followup 2 years). The youngest patient refused to perform self-dilation and underwent successful perineal urethroplasty. Major complications did not occur. The treatment regimen as described is a suitable alternative to surgical urethroplasty in select patients with short urethral defects (less than 3 cm.) who are willing to perform temporary urethral self-dilation.
J P Spirnak; E M Smith; J S Elder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  149     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-04-22     Completed Date:  1993-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  766-8     Citation Subset:  AIM; IM    
Department of Urology, Case Western Reserve University, School of Medicine, Cleveland, Ohio.
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MeSH Terms
Dilatation / methods
Self Care
Surgery, Plastic / methods
Time Factors
Urethra / injuries*,  surgery*
Urethral Stricture / therapy*

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