Ebrahim, M., Selmy, G., Elshal, A., Rehan, M. (2018). Efficacy and safety of Thulium Laser for Treatment of short segment bulbomembranous Urethral Stricture. The Egyptian Journal of Hospital Medicine, 72(7), 4826-4830. doi: 10.21608/ejhm.2018.10143
Mohamed Farid Ali Ebrahim; Gamal Ibrahim Selmy; Ahmed Mohamed Elshal; Mohamed Ramadan Rehan. "Efficacy and safety of Thulium Laser for Treatment of short segment bulbomembranous Urethral Stricture". The Egyptian Journal of Hospital Medicine, 72, 7, 2018, 4826-4830. doi: 10.21608/ejhm.2018.10143
Ebrahim, M., Selmy, G., Elshal, A., Rehan, M. (2018). 'Efficacy and safety of Thulium Laser for Treatment of short segment bulbomembranous Urethral Stricture', The Egyptian Journal of Hospital Medicine, 72(7), pp. 4826-4830. doi: 10.21608/ejhm.2018.10143
Ebrahim, M., Selmy, G., Elshal, A., Rehan, M. Efficacy and safety of Thulium Laser for Treatment of short segment bulbomembranous Urethral Stricture. The Egyptian Journal of Hospital Medicine, 2018; 72(7): 4826-4830. doi: 10.21608/ejhm.2018.10143
Efficacy and safety of Thulium Laser for Treatment of short segment bulbomembranous Urethral Stricture
Urology Department, Faculty of Medicine, Al_Azhar University, Damietta, Egypt
Abstract
Background: Evaluation of outcome of thulium laser urethrotomy for patients with urethral strictureas a minimally invasive treatment for urethral stricture. Objective: The purpose of this study was to evaluate Efficacy and safety of Thulium Laser for treatment of short segment bulbomembranous Urethral Stricture. Patient and methods: A prospective non controlled study conducted on twenty patients with urethral stricture selected from outpatient clinic of Al-Azhar-university hospital New Damietta in duration between June 2017 and July 2018. Evaluated by retrograde urethrography, uroflowmetry, International Prostate SymptomScore (IPSS), Sexual function assessment: International Index of Erectile Function (IIEF), Male Sexual Health Questionnaire (M.S.H.Q)] and quality of life preoperatively. All patients were treated with thulium laser urethrotomy. All patients were followed up for 6 months postoperatively by uroflowmetry and by retrograde urethrography after 6 months. And all patients were followed up by mailed questionnaire, including IPSS (International prostate symptom score), (IIEF), (M.S.H.Q) and quality of life. Result: Thulium laser urethrotomy was performed in all 20 cases. The mean operative time was 23.7±4.5 minutes range (15–30 minutes). No intraoperative complications were encountered. Despite perioperative antibiotics, 15% of the patients developed urinary tract infection postoperatively that was managed with antibiotics accordingto urine culture sensitivity. Stricture treatment was successful in 17 patients (85%). three patient developed recurrent stricture treated with urethral dilation. In 17 patient the postoperative mean Qave (average urine flow) > 12.3±3.6 ml /second (P <0.05) and adequate caliber urethra in retrograde urethrogram (RUG) 6 months after operation.Three patients (15%) showed narrow stream of urine) Qave) average urine flow Conclusion: We demonstrated that thulium laser endourethrotomy was a reliable and safe therapy with minimal invasive therapeutic modality for urethral strictures.