Direct Vision Internal Urethrotomy with Application of Holmium: YAG Laser
Journal of Lasers in Medical Sciences,
Vol. 2 No. 3 (2011),
,
Page 126-128
Abstract
INTRODUCTION: Male urethral stricture is a complicated urologic disease that could be successfully treated using internal urethrotomy. Laser internal urethrotomy has been used in many cases with favorable outcome in many studies. Holmium: YAG laser with its incisional properties on tissue is one of the laser types applied for internal urethrotomy.
METHODS: We present a 19 year-old male with history of aortic valve stenosis and metallic aortic valvoplasty on prescription of oral anti-coagulant therapy (Warfarin) who was a candidate for internal urethrotomy due to bulbar urethral stricture. Holmium laser core-through urethrotomy was performed for him.
RESULTS: Internal urethrotomy was done using the ablative 50-watt Holmium: YAG laser 2140 nm (manufactured by the Atomic Energy Organization of Iran [AEOI]). No complication was observed intra- and post-operatively. After 6 months of followup no evidence of urethral stricture was observed.
CONCLUSION: According to our study, Ho-YAG laser core through urethrotomy is a safe and effective procedure. It is a less invasive alternative to more complex urethroplasty procedures for patients with post-traumatic urethral stricture with high risk of urethral bleeding due to anti-coagulant therapy
- urethra
- urethral strictures
- holmium-YAG lasers
- lasers
- solid-state
How to Cite
References
Dogra PN, Ansari MS, Gupta NP, Tandon S. Holmium laser core-through urethrotomy for traumatic obliterative strictures of urethra: initial experience. Urology 2004; 64(2):232-5.
Pansadoro V, Emiliozzi P. Internal urethrotomy in the management of anterior urethral strictures: long-term follow-up. J Urol 1996;156:73-5.
Naud’eAM, HeynsCF. What is the place of internal urethrotomy in the treatment of urethral stricture disease? Nat ClinPract Urol 2005;2(11):538-45.
Jordan GH, Schlossberg SM. Surgery of penis and urethra. In: Wein AJ, Kavoussi LR, Novick AC (Eds). Campbell-Walsh urology, 9th edn. Saunders: Philadelphia; 2007.1055–75.
Tomschi W, Suster G, Höltl W.Bladder neck strictures after radical retropubic prostatectomy: still an unsolved problem. Br J Urol 1998;81(6):823-6.
Becker HC, Miller J, Nöske HD, Klask JP, Weidner W. Transurethral laser urethrotomy with argon laserexperience with 900 urethrotomies in 450 patients from 1978 to 1993. UrolInt1995;55(3):150-3.
El-Nahas AR, Shoma AM, Eraky I, El-Enawy MR, El- Kappany HA. Prospective, randomized comparison of ureteroscopicendopyelotomy using holmium: YAG Laser and balloon catheter. J Urol 2006;175(2):614-8.
Peterson AC, Webster GD. Management of urethral stricture disease: developing options for surgical intervention. BJU Int 2004;94(7):971–6.
Berger AP, Deibl M, Bartsch G, Steiner H, Varkarakis J, Gozzi C. A comparison of one-stage procedures for post-traumatic urethral stricture repair. BJU Int 2005; 95(9):1299–1302.
Hosseini J, Tavakkoli Tabassi K. Surgical repair of posterior urethral defects. Urol J 2008;5(4):215-22.
Bullock TL, Brandes SB. Adult anterior urethral strictures: A national practice patterns survey of board certified urologists in the United States. J Urol2007;177(2):685-90.
Hossain AZ, Khan SA, Hossain S, Salam MA. Holmium laser urethrotomy for urethral stricture.Bangladesh Med Res Counc Bull 2004;30(2):78-80.
Futao S, Wentong Z, Yan Z, Qingyu D, Aiwu L. Application of endoscopic Ho: YAG laser incision technique treating urethral strictures and urethral atresias in pediatric patients.PediatrSurg Int 2006;22(6):514-8.
- Abstract Viewed: 212 times
- PDF Downloaded: 358 times
