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First published on 22 October 2009
Trop Doct
doi:td.2009.090121
© 2009 Royal Society of Medicine Press

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Methods and Devices

Optical urethrotomy under local anaesthesia is a feasible option in urethral stricture disease

D G Munks MBChB FCUrol      M O Alli MBChB FCUrol     E H Abdel Goad MBChB FCUrol  

Department of Urology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa

Correspondence to: Dr Dean Munks, 260 Anthony Road, Durban North 4051, South Africa Email: dsmunks{at}iafrica.com

The aim of our study was to assess the feasibility of performing optical urethrotomy for urethral stricture disease under local anaesthesia. A total of 33 patients with radiologically proven urethral stricture underwent optical urethrotomy by a single operator under local anaesthesia. Of these patients, 23 (70%) had stricture involving the corpora spongiosum and 18 (55%) of the patients were dependent on supra-pubic catheters. The procedure was successful in 30 cases (91%). The procedure was very well tolerated (average visual analogue pain score of 2/10) with an extremely low complication rate. The large number of patients with urethral stricture disease and the premium on operating time on formal theatre slates encouraged us to perform these procedures under local anaesthetic. Although most patients had severe stricture disease, the majority of cases were successful and very well tolerated. Optical urethrotomy under local anesthesia could be a viable option in the absence of formal theatre time and the facilities to perform general anaesthesia.


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