@article{article_590392, title={Endoscopic Surgery of Urethral Strictures: Laser Versus Knife}, journal={Yeni Üroloji Dergisi}, volume={15}, pages={39–44}, year={2020}, DOI={10.33719/yud.590392}, author={Solakhan, Mehmet and Bayrak, Ömer}, keywords={urethral stricture,laser urethrotomy,cold knife,nux}, abstract={<p align="justify" style="margin-bottom:0cm;line-height:200%;"> <span style="font-size:14px;">Aims: </span> <span style="font-size:14px;">
We aimed to compare the efficiency of cold knife urethrotomy and
laser urethrotomy in endoscopic surgery of urethral strictures. </span> <span style="font-size:14px;"> </span> </p> <p align="justify" style="margin-bottom:0cm;line-height:200%;"> <span style="font-size:14px;">Material-Methods: </span> <span style="font-size:14px;">
A total of 171 patients were evaluated retrospectively. A 118
patients with complete data were divided into two groups (group 1; n
= 53 cold knife urethrotomy, group 2; n = 65 laser urethrotomy) in
the study. Length of the stricture, operation time, preoperative and
postoperative 3 </span> <span style="font-size:14px;">rd </span> <span style="font-size:14px;">,
6 </span> <span style="font-size:14px;">th </span> <span style="font-size:14px;">
and </span> <span style="font-size:14px;">12 </span> <span style="font-size:14px;">th </span> <span style="font-size:14px;">-month </span> <span style="font-size:14px;">
Qmax values, recurrence and the presence of complications (such as
bleeding, extravasation, fever etc.) were compared in terms of the
two groups. </span> <span style="font-size:14px;"> </span> </p> <p align="justify" style="margin-bottom:0cm;line-height:200%;"> <span style="font-size:14px;"> </span> <span style="font-size:14px;">Results: </span> <span style="font-size:14px;">
The operation time was found to be shorter in patients who underwent
cold knife urethrotomy (14.01 ± 3.86 min vs 25.03 ± 4.43 min,
p=0.001). The Q max values at the postoperative 3 </span> <span style="font-size:14px;">rd </span> <span style="font-size:14px;">,
6 </span> <span style="font-size:14px;">th </span> <span style="font-size:14px;">
and 12 </span> <span style="font-size:14px;">th </span> <span style="font-size:14px;">
months were observed to be higher in patients who underwent laser
urethrotomy (p=0.03, p=0.001, p=0.001). At the end of a one-year
follow-up, recurrence was determined in 28 (52.83%) patients in group
1 and 12 (18.46%) patients had a </span> <span style="font-size:14px;">recurrence </span> <span style="font-size:14px;">
in group 2 (p=0.01). </span> <span lang="en" xml:lang="en" style="font-size:14px;">No
statistically significant difference was observed between the two
groups in terms of postoperative complications. </span> <span style="font-size:14px;">
(p=0.209). </span> </p> <p align="justify" style="margin-bottom:0cm;line-height:200%;"> <span style="font-size:14px;">Conclusions: </span> <span style="font-size:14px;">
In this study, it was determined that laser urethrotomy technique was
a more successful surgical method than cold knife urethrotomy in the
endoscopic surgery of urethral strictures as it has higher Qmax
values and lower recurrence rate. The results should be supported by
prospective, randomized studies.  </span> </p>}, number={1}, publisher={Ali İhsan TAŞÇI}