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19–22 APRIL, 2017, BARCELONA, SPAIN
S23: ENDOUROLOGY
Moderators: Rosa Romero (UK), Sajid Sultan (Pakistan)
ESPU Meeting on Saturday 22, April 2017, 11:02–11:48
11:02–11:07
S23-1 (LO)
★
COMPARISON OF HOLMIUM LASER TREATMENT
OF URETHRAL STRICTURES IN MALE PATIENTS
WITH COLD KNIFE ENDOSCOPIC INCISION
Waseem NABIL ABOUL ELA
1
, Mohamed ABDL WAHAB
2
, Walid GHONIEMA
3
,
Ahmed SHOKRY
2
, Ahmed SHOUMAN
2
, Mohamed EL SHEEMY
2
,
Mohamed EL GHONIEMY
2
, Mostafa ABDL MOHSEN
2
, Hani MORSI
2
and Hesham BADAWY
2
1) Kasr al ainy cairo university, Pediatric urology, Cairo, EGYPT - 2) Kasr al ainy cairo university, Aboul reich hospital,
Cairo, EGYPT - 3) Kasr al ainy cairo universaity, Aboul reich hospital, Cairo, EGYPT
PURPOSE
To assess the effectiveness of visual laser ablation treatment with holmium:yttrium-aluminum-
garnet (Ho:YAG) laser in male patients with urethral strictures and to compare the effects with those
obtained in patients treated with visual internal urethrotomy(VIU) urethrotomy.
MATERIAL AND METHODS
From January 2014 to January 2016, 42 patients aged 2 to13years (mean age 6.3) with primary
urethral strictures 0.5 to 1.5 cm long qualified for the study. The patients were randomized into
two groups: 21 child patients treated using visual laser ablation of urethral strictures (VLASU)
with holmium:YAG laser and 21 child patients treated by correction of urethral strictures using
Sachse’s optical urethrotomy. Urethrotomy was made at the 12 o’clock position by retrograde
vaporization of the scarred tissue through the total length of the stricture with the aid of a metal
guidewire.
RESULTS
At 6-month follow-up, eight (38%) patients who underwent optical urethrotomy and 14 (66.7%)
in the VLASU group did not require repetition of the procedure. The mean operation time was
30.8 minutes (range 20-45 minutes). No significant bleeding or serious complication was seen in
the perioperative or postoperative period in both groups.
CONCLUSIONS
VLASU can be used as a method of treatment of this disorder. It is an effective, modern, low-invasive,
and repeatable technique and is technically simple and easy to master with results comparable to
those of conventional urethrotomy.