Zuzana Nosáľová, Vincent Nagy, Miroslav Iláš , Ľubomír Lachváč
Objective: Analysis of the treatment results in patients with urethral stricture.
Materials and Methods: In. 2005-2014 we performed 218 optical urethrotomies in 138 patients (age 18-88, average
63.2 years) and in another 20 patients (age 21- 86, average 59.1 years) 27 sculptures urethra. Indication for the optical
urethrotomy were uncomplicated urethral stricture, age, condition, and patient’s preference. The most common was
a bulbar stricture (69%), penile (24%) and the membranous urethra (7%). Stricture length was in the range 2-60 mm,
diameter of 14.7 mm. The operations were aimed at patients with recurrent optic urethrotomy, unsuccessful results
were evaluated by uroflowmetry, namely to determine the maximum flow rate Qmax, respectively, radiographically.
Results: The improvement of Qmax in 73 evaluated patients ranged from 1 to 36.5 ml/s, a mean of 9.05 ml/s. Improvement
after urethroplasty in 18 evaluated patients ranged from 2-34.2 ml/s, a mean of 11.3 ml/s.
Conclusion: Optical urethrotomy was preferred due to a relative simplicity. It improves immediate results, but it is accompanied
by frequent relapses. Urethroplasty in most cases is the ultimate solution strictures, but in some of the patients
there was a need for additional surgery.