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Case Reports in Urology
Volume 2014 (2014), Article ID 137605, 3 pages
http://dx.doi.org/10.1155/2014/137605
Case Report

A Simple Technique to Facilitate Treatment of Urethral Strictures with Optical Internal Urethrotomy

1Urology Department, Tzaneio General Hospital, Zanni & Afentouli 1 Street, 18536 Piraeus, Greece
2Radiology & Interventional Radiology Department, Tzaneio General Hospital, Zanni & Afentouli 1 Street, 18536 Piraeus, Greece

Received 14 August 2014; Accepted 4 October 2014; Published 23 October 2014

Academic Editor: Elijah O. Kehinde

Copyright © 2014 Konstantinos Stamatiou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Urethral stricture is a common condition that can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention. Treatment options include catheterization, urethroplasty, endoscopic internal urethrotomy, and dilation. Optical internal urethrotomy offers faster recovery, minimal scarring, and less risk of infection, although recurrence is possible. However, technical difficulties associated with poor visualization of the stenosis or of the urethral lumen may increase procedural time and substantially increase the failure rates of internal urethrotomy. In this report we describe a technique for urethral catheterization via a suprapubic, percutaneous approach through the urinary bladder in order to facilitate endoscopic internal urethrotomy.