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Year : 2000  |  Volume : 17  |  Issue : 1  |  Page : 28-30

Optical internal urethrotomy under local anaesthesia

Department of Urology, Safdarjang Hospital, New Delhi, India

Correspondence Address:
Nayan K Mohanty
D-II/87, West Kidwai Nagar, New Delhi - 110 023
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Source of Support: None, Conflict of Interest: None

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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 (0.1. 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% Lignocaine jelly and intravenous Diazepam 10mg. Results: Our results revealed 35% (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 0.1. 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.

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