The surgical technique of “Urethrotomy” creates a widening of the urethra using a special instrument. The operation is performed endoscopically through the external urinary meatus, progressing up to the area that narrows, without invasive surgery. There are two basic types of Urethrotomy:
- Internal urethrotomy by cold knife (Sachse’s technique). In this procedure, the narrow part of the
- urethra is incised, cutting the stricture at 12 o’clock, with a cold knife thus without cauterizing or using any other form of energy. The internal urethrotomy by cold knife is mainly used in patients with bulbar urethral strictures.
- Holmium laser urethrotomy. In this procedure, the narrow part of the urethra is incised, cutting the stricture at 12 o’clock, using a holmium laser fiber. The Holmium laser urethrotomy is mainly used in patients with posterior urethral strictures, or in patients with bladder neck contracture after prostatic surgery.
- patients with bladder neck contracture after prostatic surgery.
- patients with simple and short bulbar urethral strictures who had no previous treatment.
- patients who refuse the standard surgical approach or who prefer to delayed surgery.
- elderly patients with urethral strictures associated with poor general health conditions where lengthy anaesthesia to perform complex urethral repair is not recommended.