Clinical Study
Outcomes of Direct Vision Internal Urethrotomy for Bulbar Urethral Strictures: Technique Modification with High Dose Triamcinolone Injection
| | (A) Patient characteristics |
| | Number of patients | 28 | | Mean age (range) | 60 (24–90) | | Mean American Society of Anesthesiologists (ASA) physical status classification | 2.6 | | Mean number of prior procedures (range) | 5.7 (0–50) | | Percent with prior procedures | 71% | | Mean stricture length (range) | 1.85 (0.5–4 cm) |
| | (B) Stricture etiology |
| | Radiation | 32% (9) | | Endoscopic procedure | 28% (8) | | Pelvic trauma | 18% (5) | | Catheter trauma | 11% (3) | | Idiopathic | 11% (3) |
| | (C) Overall outcomes |
| | Number of patients | 20 | | Stricture recurrence | 8 | | Recurrence rate | 29% |
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Patient on Uroflowmetry | 14 | |
Patient on cystoscopy | 4 | |
Patient on self-catheterization | 2 |
| | Average follow-up | 20 months | | Time to recurrence for failures | 7 months |
| | (D) Complications |
| | Clavien Grade II: urinary tract infection | 14% |
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