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  1. Home
  2. Volume 9, Issue 1
  3. Author

Online ISSN: 2515-8260

Volume9, Issue1

Prospective comparative study of visual internal urethrotomy and visual internal urethrotomy with intralesional triamcinolone and mitomycin c in treatment of stricture urethra

    Dr. Abhilash, Dr. Srilakshmi N, Dr. Padmaraj Stalin Hegre, Dr. Kiran Kumar Nayak S

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 198-204

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Abstract

Urethral stricture disease has always been a challenge for urologists. Different treatment
modalities that are used for treatment of urethral stricture disease are dilatation, urethrotomy,
stent placement. Internal urethrotomy is a safe first line treatment for urethral strictures
independent of etiology and location, with an overall primary success rate of 60-70%.Visual
internal urethrotomy was done in usual manner using cold knife. Injection is prepared by
diluting triamcinolone 40mg, mitomycin 2mg in 5-10mL of saline according to length of
stricture and was injected intralesional at the site of urethrotomy using William’s endoscopic
needle. At every site 1-2mL was injected. After confirming free passage of cystoscope into
the bladder, an 16 or 18 Fr foley’s catheter was left in place for 2-3 days.In our study total of
7 patients lost follow up and among remaining 37 patients total of 10 patients had recurrence,
8 patients in group A had recurrence at end of 6 months, 1 patients at 3 months after
procedure and 7 patients at 6 months after procedure where as in group B only 2 patients had
recurrence 1 at 3 months and 1 at 6 months post procedure, both groups were statistically
comparable with respect to age stricture length,site and etiology.From our study we can
conclude that, Injection of both triamcinolone, mitomycin C at stricture site after VIU can be
considered as safe and effective adjuvant modality compared to VIU alone for short term
management of stricture urethra.
Keywords:
    Visual internal urethrotomy intralesional triamcinolone stricture urethra
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(2022). Prospective comparative study of visual internal urethrotomy and visual internal urethrotomy with intralesional triamcinolone and mitomycin c in treatment of stricture urethra. European Journal of Molecular & Clinical Medicine, 9(1), 198-204.
Dr. Abhilash, Dr. Srilakshmi N, Dr. Padmaraj Stalin Hegre, Dr. Kiran Kumar Nayak S. "Prospective comparative study of visual internal urethrotomy and visual internal urethrotomy with intralesional triamcinolone and mitomycin c in treatment of stricture urethra". European Journal of Molecular & Clinical Medicine, 9, 1, 2022, 198-204.
(2022). 'Prospective comparative study of visual internal urethrotomy and visual internal urethrotomy with intralesional triamcinolone and mitomycin c in treatment of stricture urethra', European Journal of Molecular & Clinical Medicine, 9(1), pp. 198-204.
Prospective comparative study of visual internal urethrotomy and visual internal urethrotomy with intralesional triamcinolone and mitomycin c in treatment of stricture urethra. European Journal of Molecular & Clinical Medicine, 2022; 9(1): 198-204.
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