1987 Volume 78 Issue 8 Pages 1361-1364
Results of optical internal urethrotomy (OIU) on 64 patients during the last 42 months were reviewed. The patients subjected were all male and OIU alone was done on 28 patients and OIU combined with either TUR-P or TUR-Bn on 36 patients. The former group ranged in age from 17 to 82 years old(mean 47.6). The stenotic sites were bulbomembranous region in 23 patients. pendulous region in 2 and both regions in 3. Etiology was traumatic or iatrogenic in 7 patients, postinflammatory in 11 and congenital in 10.21 patients improved by OIU alone, 1 improved by metal sound dilatation following OIU and 2 with traumatic stenosis necessitated TUR following OIU and 4 remained in unfavorable condition. The latter group ranged in age from 44 to 88 years old (mean 65.9). The stenotic sites were bulbomembranous region in 27 patients and extensive (from membranous to pendulous) in 9. Etiologywas iatrogenic in 1 patient, postinflammatory in 29 and congenital in 6.26 patients improved by OIU alone and 9 patients necessitated metal sound dilatation. The remainder was not improved. In general neither postoperative deterioration nor intraoperative complications were encountered.