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

DOI: 10.18502/wkmj.v66i1.15680

Authors:

Aluadin NurberdievDepartment of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan

Alexey SuchshenkoDepartment of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan

Almas Muralovich KazhitaevDepartment of Urology, State-Owned Public Enterprise with The Rights of Economic Management “Multidisciplinary Regional Hospital No. 2”, Astana, Kazakhstan

Ulanbek ZhanbyrbekulyDepartment of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan

Gafur Khairlikhairley.gafour@mail.ruDepartment of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan

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

References:

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