West Kazakhstan Medical Journal
ISSN: 2707-6180 (Print) 2707-6199 (Online)
Pioneering research advancing the frontiers of medical knowledge and healthcare practices.
Long-term Results of Optical Laser Urethrotomy for Post-traumatic Stricture of the Membranous Urethra
Published date: Mar 14 2024
Journal Title: West Kazakhstan Medical Journal
Issue title: West Kazakhstan Medical Journal: Volume 66 Issue 1
Pages: 78–83
Authors:
Abstract:
Urethral stricture is a common condition characterized by the narrowing of the urethra, leading to difficulty in urination. This article presents a case report of a 47-yearold male with urethral stricture following a pelvic fracture. The patient presented with urinary retention and a history of traumatic injury. Diagnostic imaging revealed a 2.0-2.2 cm stricture in the membranous urethra. Surgical intervention, including optical laser urethrotomy and silicone urethral catheter placement, was performed successfully. Postoperative management included antibacterial and anti-inflammatory therapy, leading to the restoration of independent urination. Urodynamic examination confirmed the successful outcome of the surgery. This case demonstrates that endoscopic surgery for urethral strictures can have a favorable prognosis. However, due to the potential for recurrence, ongoing outpatient care and monitoring by a urologist are essential for these patients.
Keywords: urethral stricture, pelvic fractures, urethrotomy, urethral catheterization, urologic surgical procedures
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