الفهرس | Only 14 pages are availabe for public view |
Abstract U rethral strictures can occur due to trauma, infection, ischemia, inflammation, or unknown causes. As a result, scar tissue forms in the epithelium, which leads to decrease in caliber of the urethral lumen. Optical internal urethrotomy is a feasible modality of treatment for short segment bulbar ure¬thral strictures. Recurrence is an important problem after urethrotomy. The clinical decision of stricture-recurrence-prevention techniques should be carefully tailored to every individual patient. Steroid injection to the stricture site to avoid fibrosis is a safe and effective adjuvant therapy for short segment strictures after internal urethrotomy. Our study was done at the Ain Shams University Hospitals and the Urology department of National institute of Nephrology and Urology. This study aimed at evaluating the efficacy of local steroids as applied with the IU procedure in reducing the recurrence of strictures after urethrotomy. Thirty male Patients with anterior urethral strictures were divided into two groups: group A (IU only) and group B (IU+ corticosteroids). Our study revealed that internal urethrotomy for anterior urethral stricture with intrauretheral injection of 40 mg methyl prednisone acetate decrease the recurrence rate of the urethral stricture. |