Abstract

Background
: A visual internal urethrotomy is a reasonable initial procedure in partial and complete urethral strictures. We reviewed our experiences with 62 partial and complete urethral strictures. Methods : The outcomes of treatment of 62 patients who were managed by visual internal urethrotomy were analyed based on the length and site of strictures, and on whether the strictures was partial and complete. Results : The procedure was completed successfully in 10 of the 21 men with a complete urethral stricture (47.6%) and 30 of the 41 men with a partial urethral stricture (73.1%). Also, success rate for strictures with lengths less than 1 cm and more than 1 cm were 66.7% and 45%, respectively. The morbidity rate was 8.1% in the visual internal urethrotomy, and those cases were successfully treated conservatively. Conclusion : A visual internal urethrotomy is repetitive, safe, and effective as a primary treatment in urethral stricture, especially in partially obstructed strictures and in strictures shorter than 1 cm.

• Keywords: Urethral stricture, Visual internal urethrotomy