Urologists face many challenges with urethral stricture disease. There are different types of treatments for curing this disease including urethrotomy, dilatation, stent placement, urethroplasty etc. doctors suggest to go for internal urethrotomy which is a safe treatment for strictures with 60-70% of the success rate. Moreover, the doctors suggest an endoscopic treatment in urethroplasty cases. Lasers are the best for treating urethral strictures. The favourable type of lasers includes carbon dioxide, the KTP, the Ho: YAG, excimer lasers Nd: YAG and excimer lasers the Argon. These laser treatments are painless and therefore, benefit them all.
OIU (optical internal urethrotomy) is a medical procedure which involves removing the body tissues in the urethra. It treats urethral strictures (urethra drains urine from the bladder). Visual internal Urethrotomy or optical urethrotomy are the same. Short strictures of less than 10mm long situated in bulbar, bulbomembranous or prostatic urethra resulting from trauma, instrumentation, inflammation and without any history of any earlier surgical procedure are best suited for an optical internal urethrotomy (O.I.U.).
All patients undergo a physical examination, urine analysis, urine culture, sensitivity test, complete blood count, renal function tests, micturating cystourethrography (MCU), uroflowmetry, retrograde urethrography (RGU), and urethroscopy using 0 0 Scope. The doctors do not suggest for uroflowmetry in the patients who had suprapubic cystostomy and a zero PFR (peak flow rate).
The procedure takes place under spinal anaesthesia in the lithotomy position. The patients were also given ciprofloxacin (500 mg), an antibiotic, just before and 12 hours prior to the treatment for the next 5 days. The doctor may also use normal saline for irrigation during the treatment.
OIU (optical internal urethrotomy) is one of the successful treatments for non-occlusive strictures. However, there have been a few clinical shortcomings in past on the study of holmium laser over conventional cold knife method for internal urethrotomy.
OIU uses a urethrotome which is an endoscopic device. Using a sharp knife, the incision takes place in the urethra. However, the success rate is below 10%. Still, it is a popular treatment for treating urethral strictures as it removes unwanted tissues.
There are some risks with optical internal urethrotomy which are as follows:
The reduced visibility which is one of the technical factors may hamper the operation. You can place the angiographic catheter which makes ways for urethrotome to the bladder neck.
Urethral stricture affects middle-aged men. Therefore, almost every patient suffers from urinary tract symptoms due to external trauma which may end up in kidney dysfunction. In the doctor's opinions, laser urethrotomy is an effective treatment for short term urethral stricture.SUBMIT A QUERY