N K Mohanty Dept. of Urology, Safdarjang Hospital New Delhi
Source of Support: None, Conflict of Interest: None
Objective: Recurrence of urethral stricture after single internal urethrotomy is quite high, resulting in repeated urethrotomies. This results in a long waiting period for the patient to undergo urethrotomy under anaesthesia. Our aim was to perform urethrotomy under local anaesthesia so that hospital-stay-waiting-period is reduced to the minimum. Method: We analysed our patients between Jan '93 to Jan '98, who underwent repeated optical internal urethrotomy (O.I.U.) under local anaesthesia. A total number of 220 patients of stricture urethra underwent internal urethrotomy under local anaesthesia as a day care procedure using 2 percent Lignocaine jelly and intravenous Diazepam 10mg. Results: Our results revealed 35 percent (78 patients) had recurrence who underwent repeated urethrotomies (189) under local anaesthesia, number of urethrotomies depending on the etiology and length of the stricture. None of these patients were admitted in the hospital. Conclusion: We conclude that O.I.U. can safely be performed under local anaesthesia as a day-care procedure and the procedure is well tolerated by the patient without any hospitalisation and anaesthesia risk.