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Inventi Impact: Urology & Nephrology

Articles

  • Inventi:hkd/18457/15
    Outcomes of Direct Vision Internal Urethrotomy for Bulbar Urethral Strictures: Technique\nModification with High Dose Triamcinolone Injection
    01-Jan-1970 Research 2016 : January - March
    Rishi Modh, Peter Y Cai, Alyssa Sheffield, Lawrence L Yeung

    Objective. To evaluate the recurrence rate of bulbar urethral strictures managed with cold knife direct vision internal urethrotomy\nand high dose corticosteroid injection. Methods. 28 patients with bulbar urethral strictures underwent direct vision internal\nurethrotomy with high dose triamcinolone injection into the periurethral tissue and were followed up for recurrence. Results.\nOur cohort had a mean age of 60 years and average stricture length of 1.85 cm, and 71% underwent multiple previous urethral\nstricture procedures with an average of 5.7 procedures each. Our technique modification of high dose corticosteroid injection had a\nrecurrence rate of 29% at amean follow-up of 20months with a low rate of urinary tract infections. In patients who failed treatment,\nmean time to stricture recurrence was 7 months. Patients who were successfully treated had significantly better International\nProstate Symptom Scores at 6, 9, and 12 months.There was no significant difference in maximum flow velocity on Uroflowmetry at\nlast follow-up but there was significant difference in length of follow-up (

    How to Cite this Article
    CC Compliant Citation: Rishi Modh, Peter Y. Cai, Alyssa Sheffield, and Lawrence L. Yeung, â??Outcomes of Direct Vision Internal\nUrethrotomy for Bulbar Urethral Strictures: Technique Modification with High Dose Triamcinolone Injection,â? Advances in Urology, vol.\n2015, Article ID 281969, 5 pages, 2015. doi:10.1155/2015/281969, http://creativecommons.org/licenses/3.0/.
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