1973 Volume 64 Issue 2 Pages 113-120
Between April 1966 and March 1971, we treated 54 cases of urethral stricture. Among these cases, 2 pediatric cases were found, in whom the stricture was caused by traffic accidents.
Traumatic and gonococcal cases were found at about the same frequency and they together composed 75% of all the cases.
The result of the internal urethrotomy was good in 46% of the cases, but when it was evaluated after further observation, the percentage was found to be lower than before. This is because the operation was not a radical one and not aimed at removing the scars. The operation, however, was the least destructive and indicated for the senile and poor-risk patients.
Intubated urethrotomy was performed 15 times and its result was good in 73%. The operation is recommended as an easy, one-stage operation which has the advantage of leaving no foreign materials, being applicable for long strictures and forming no dead space.
Michalowski and Modelski methods have the disadvantage of impossible dilatation of the urethra, but should be resorted on when other methods fail to accomplish their purposes.
It is emphasized that the selection of the operative methods depends on the site and degree of the strictures, but in general, the least complicated procedure should be the first choice.
