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1. Biomedical articles (top 50; 2009 to 2014)
1. |||||..... 50%  Uzun H, Zorba OÜ, Tomak Y, Bostan H, Kalkan M: Internal urethrotomy under local urethral anaesthesia is feasible with sedation and analgesia. Nephrourol Mon; 2012;4(4):636-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Internal urethrotomy under local urethral anaesthesia is feasible with sedation and analgesia.
  • BACKGROUND: Urethral stricture is a common condition, and direct vision internal urethrotomy is prefered as the first treatment option by many urologists, for strictures shorter than 2 cm.
  • This procedure is generally performed under general or spinal anaesthesia.
  • OBJECTIVES: To investigate the feasibility of adding local urethral anaesthesia to intravenous sedation and analgesia (sedoanalgesia) methods in patients undergoing internal urethrotomy.
  • PATIENTS AND METHODS: A total of 21 and 15 patients with anterior urethral strictures underwent internal urethrotomy under local urethral anaesthesia, with or without sedoanalgesia, respectively.

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  • (PMID = 23573506.001).
  • [ISSN] 2251-7006
  • [Journal-full-title] Nephro-urology monthly
  • [ISO-abbreviation] Nephrourol Mon
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Iran
  • [Other-IDs] NLM/ PMC3614305
  • [Keywords] NOTNLM ; Anaesthesia / Internal Urethrotomy / Urethral Stricture
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2. ||||...... 44%  Kim HM, Kang DI, Shim BS, Min KS: Early experience with hyaluronic Acid instillation to assist with visual internal urethrotomy for urethral stricture. Korean J Urol; 2010 Dec;51(12):853-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Early experience with hyaluronic Acid instillation to assist with visual internal urethrotomy for urethral stricture.
  • PURPOSE: The clinical usefulness of hyaluronic acid (HA) instillation during visual internal urethrotomy (VIU) for decreasing the incidence of recurrent urethral stricture was assessed.
  • After insertion of a Foley catheter following urethrotomy, HA was instilled via an 18-gauge tube catheter between the urethral lumen and Foley catheter.
  • We evaluated the success rate of this procedure by comparing retrograde urethrography (RGU) results, maximum flow rates, and postvoid residual urine volumes preoperatively and 3 and 12 months postoperatively.

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  • (PMID = 21221206.001).
  • [ISSN] 2005-6745
  • [Journal-full-title] Korean journal of urology
  • [ISO-abbreviation] Korean J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3016432
  • [Keywords] NOTNLM ; Hyaluronic acid / Surgery / Urethral stricture
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3. ||||...... 39%  Karaguzel E, Gur M, Tok DS, Kazaz IO, Eren H, Kutlu O, Ozgur GK: Severe Penile Curvature following Otis Urethrotomy. Case Rep Med; 2013;2013:214082
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Severe Penile Curvature following Otis Urethrotomy.
  • In this paper, urethral stricture developed secondary to urethral catheterization and was treated with cold-knife internal urethrotomy and the Otis urethrotomy procedure.

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  • (PMID = 23585763.001).
  • [ISSN] 1687-9627
  • [Journal-full-title] Case reports in medicine
  • [ISO-abbreviation] Case Rep Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3621152
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4. |||....... 30%  Kumar S, Kapoor A, Ganesamoni R, Nanjappa B, Sharma V, Mete UK: Efficacy of holmium laser urethrotomy in combination with intralesional triamcinolone in the treatment of anterior urethral stricture. Korean J Urol; 2012 Sep;53(9):614-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Efficacy of holmium laser urethrotomy in combination with intralesional triamcinolone in the treatment of anterior urethral stricture.
  • PURPOSE: To evaluate the outcome of visual internal urethrotomy with a holmium:yttrium-aluminum-garnet laser along with intralesional triamcinolone injection.
  • All patients were treated with holmium laser urethrotomy and intralesional triamcinolone (80 mg) injection under general or regional anesthesia.
  • CONCLUSIONS: Holmium laser urethrotomy with intralesional triamcinolone is a safe and effective minimally invasive therapeutic modality for urethral strictures.
  • This procedure has an encouraging success rate, especially in those with stricture segments of less than 1 cm in length.

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  • (PMID = 23060998.001).
  • [ISSN] 2005-6745
  • [Journal-full-title] Korean journal of urology
  • [ISO-abbreviation] Korean J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3460003
  • [Keywords] NOTNLM ; Laser therapy / Lasers / Solid state / Triamcinolone acetonide / Urethral stricture
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5. ||........ 24%  Dhabalia JV, Nelivigi GG, Punia MS, Kumar V: Refractory post visual internal urethrotomy bleeding managed by angioembolization. Indian J Radiol Imaging; 2010 Feb;20(1):37-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Refractory post visual internal urethrotomy bleeding managed by angioembolization.
  • Post visual internal urethrotomy (VIU) bleeding is usually treated successfully with local compression.

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  • [Cites] Fortschr Med. 1974 Jan 10;92(1):12-5 [4820622.001]
  • [Cites] BJU Int. 2005 Sep;96(4):624-8 [16104922.001]
  • [Cites] J Urol. 1996 Jul;156(1):73-5 [8648841.001]
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  • (PMID = 20351990.001).
  • [ISSN] 1998-3808
  • [Journal-full-title] The Indian journal of radiology & imaging
  • [ISO-abbreviation] Indian J Radiol Imaging
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC2844745
  • [Keywords] NOTNLM ; Angioembolization / bleeding / stricture urethra / visual internal urethrotomy
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6. |||||||||. 92%  Cooper IF, Siadaty MS: 'Therapeutic or Preventive Procedures' associated with 'Internal Urethrotomy': Top Publications. BioMedLib Review; TherapeuticOrPreventive;InternalUrethrotomy:707442549. ISSN: 2331-5717. 2014/7/11
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  • [Title] 'Therapeutic or Preventive Procedures' associated with 'Internal Urethrotomy': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'Therapeutic or Preventive Procedure' for 'internal urethrotomy'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals, and there are many types of 'Therapeutic or Preventive Procedure'.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 30 publications, and group two 183 publications.
  • Here are the top 10.
  • Cooper IF et al: 'Steroids' associated with 'Internal Urethrotomy': Top Publications.
  • Dhabalia JV et al: Refractory post visual internal urethrotomy bleeding managed by angioembolization.
  • Tavakkoli Tabassi K et al: Triamcinolone injection following internal urethrotomy for treatment of urethral stricture.
  • Uzun H et al: Internal urethrotomy under local urethral anaesthesia is feasible with sedation and analgesia.
  • Ghosh B et al: Randomized clinical trial comparing effectiveness of intracorpus spongiosum block versus topical anesthesia for performing visual internal urethrotomy for urethral stricture disease.
  • Heyns CF et al: Treatment of male urethral strictures - possible reasons for the use of repeated dilatation or internal urethrotomy rather than urethroplasty.
  • Helmy TE et al: Internal urethrotomy for recurrence after perineal anastomotic urethroplasty for posttraumatic pediatric posterior urethral stricture: could it be sufficient?.
  • Mazdak H et al: Internal urethrotomy and intraurethral submucosal injection of triamcinolone in short bulbar urethral strictures.
  • Dubey D: The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures.
  • Dutkiewicz SA et al: Comparison of treatment results between holmium laser endourethrotomy and optical internal urethrotomy for urethral stricture.

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 707442549.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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7. |||||||||. 2011%  Aphinives C, Laopaiboon V, Chotikawanit A: Postsurgical high flow priapism treated by transarterial embolizaton: a case report. J Med Assoc Thai; 2012 Jan;95(1):129-31
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The authors report a case of painful priapism, caused by iatrogenic arterial injury from endoscopic internal urethrotomy procedure for stricture urethra, which increased blood circulation in the penis.
  • Bilateral selective internal iliac angiograms showed a prominent right internal pudendal artery and deep penile artery terminating in an arterio-sinusoidal fistula.

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  • (PMID = 22379753.001).
  • [ISSN] 0125-2208
  • [Journal-full-title] Journal of the Medical Association of Thailand = Chotmaihet thangphaet
  • [ISO-abbreviation] J Med Assoc Thai
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Thailand
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8. |||||..... 52%  Mazdak H, Izadpanahi MH, Ghalamkari A, Kabiri M, Khorrami MH, Nouri-Mahdavi K, Alizadeh F, Zargham M, Tadayyon F, Mohammadi A, Yazdani M: Internal urethrotomy and intraurethral submucosal injection of triamcinolone in short bulbar urethral strictures. Int Urol Nephrol; 2010 Sep;42(3):565-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Internal urethrotomy and intraurethral submucosal injection of triamcinolone in short bulbar urethral strictures.
  • OBJECTIVES: In clinical practice, internal urethrotomy is an easy procedure and is offered as a first modality for treatment of short urethral strictures.
  • Internal urethrotomy refers to any procedure that opens the stricture by incising or ablating it transurethrally.
  • The most common complication of internal urethrotomy is stricture recurrence.
  • The curative success rate of internal urethrotomy is approximately 20%.
  • This study evaluated the efficacy of triamcinolone in the prevention of anterior urethral stricture recurrence after internal urethrotomy.
  • METHODS: Fifty male patients with anterior urethral stricture were randomized to undergo internal urethrotomy with or without urethral submucosal injection of triamcinolone.
  • Using general anesthesia urethrotomy was performed.
  • Triamcinolone (40 mg) was injected submucosally at the urethrotomy site in 25 patients.
  • CONCLUSIONS: Injection of triamcinolone significantly reduced stricture recurrence after internal urethrotomy.

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  • (PMID = 19949861.001).
  • [ISSN] 1573-2584
  • [Journal-full-title] International urology and nephrology
  • [ISO-abbreviation] Int Urol Nephrol
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] Netherlands
  • [Chemical-registry-number] 0 / Glucocorticoids; 1ZK20VI6TY / Triamcinolone
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9. ||||...... 44%  Kumar S, Prasad S, Parmar K, Ganesamoni R, Batra YK: A randomized controlled trial comparing combined spongiosum block and intraurethral lignocaine with intraurethral lignocaine alone in optical internal urethrotomy for urethral stricture. J Endourol; 2012 Aug;26(8):1049-52
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A randomized controlled trial comparing combined spongiosum block and intraurethral lignocaine with intraurethral lignocaine alone in optical internal urethrotomy for urethral stricture.
  • BACKGROUND AND PURPOSE: Optical internal urethrotomy is the most commonly performed procedure for the management of anterior urethral stricture.
  • This study was performed to compare the safety and efficacy of spongiosum block along with intraurethral lignocaine with intraurethral lignocaine alone for optical internal urethrotomy.
  • PATIENTS AND METHODS: Fifty patients with anterior urethral stricture were prospectively randomized to undergo optical internal urethrotomy under spongiosum block along with intraurethral lignocaine (group 1=25 patients) and intraurethral lignocaine only (group 2=25 patients).
  • The procedure-related pain was noted using the visual analogue scale.
  • RESULTS: Optical internal urethrotomy was successfully completed in all patients.
  • CONCLUSIONS: Spongiosum block with intraurethral lignocaine has a better anesthetic effect than intraurethral lignocaine alone for performing optical internal urethrotomy.
  • Spongiosum block with intraurethral lignocaine is a viable alternative for regional and general anesthesia in the management of anterior urethral stricture with optical internal urethrotomy.

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  • (PMID = 22332767.001).
  • [ISSN] 1557-900X
  • [Journal-full-title] Journal of endourology / Endourological Society
  • [ISO-abbreviation] J. Endourol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Randomized Controlled Trial
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anesthetics, Local; 98PI200987 / Lidocaine
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10. ||||...... 40%  Ghosh B, Dorairajan LN, Kumar S, Manikandan R, Muruganandham K, Kumar A: Randomized clinical trial comparing effectiveness of intracorpus spongiosum block versus topical anesthesia for performing visual internal urethrotomy for urethral stricture disease. Urology; 2013 Jan;81(1):204-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Randomized clinical trial comparing effectiveness of intracorpus spongiosum block versus topical anesthesia for performing visual internal urethrotomy for urethral stricture disease.
  • OBJECTIVE: To compare the efficacy and safety of intracorpus spongiosum block (ICSB) over topical anesthesia for performing visual internal urethrotomy (VIU) in a randomized clinical trial.
  • Pain perception during and after the procedure was assessed by visual analog scale (VAS).
  • The changes in vital parameters during the procedure and procedure-related complications were recorded.


11. ||||...... 36%  Islam M, Anwar F, Ahmed S, Ali A: Optical urethrotomy in strictures following fracture pelvis. J Ayub Med Coll Abbottabad; 2010 Oct-Dec;22(4):106-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Optical urethrotomy in strictures following fracture pelvis.
  • Objective of this study was to see the outcome of optical internal urethrotomy in treatment of urethral strictures following fracture pelvis.
  • A total of 45 male patients (20-60 years of age) and having urethral strictures following fracture pelvis were treated with internal optical urethrotomy.
  • The good and fair results of internal optical urethrotomy were 68.56% patients who were treated with single internal optical urethrotomy.
  • Internal optical urethrotomy was repeated in 22.86% of patients.
  • CONCLUSION: Internal optical urethrotomy is safe and effective procedure for short yet inaccessible strictures from the perineum.

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  • (PMID = 22455274.001).
  • [ISSN] 1025-9589
  • [Journal-full-title] Journal of Ayub Medical College, Abbottabad : JAMC
  • [ISO-abbreviation] J Ayub Med Coll Abbottabad
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Pakistan
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12. ||........ 25%  Cooper IF, Siadaty MS: 'Spatial Concepts' associated with 'Internal Urethrotomy': Top Publications. BioMedLib Review; SpatialConcept;InternalUrethrotomy:707427398. ISSN: 2331-5717. 2014/3/10
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  • [Title] 'Spatial Concepts' associated with 'Internal Urethrotomy': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'Spatial Concept' for 'internal urethrotomy'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals, and there are many types of 'Spatial Concept'.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 27 publications, and group two 627 publications.
  • Here are the top 10.
  • Uzun H et al: Internal urethrotomy under local urethral anaesthesia is feasible with sedation and analgesia.
  • Nicolescu D et al: Anterograde urethrotomy, a new method for internal urethrotomy.
  • Chuang CK et al: Optic internal urethrotomy under transrectal ultrasonographic guide and suprapubic fiberoscopic aid.
  • Merkle W et al: Risk of recurrent stricture following internal urethrotomy. Prospective ultrasound study of distal male urethra.
  • Al-Hunayan A et al: A pilot study of transperineal urethrosphincteric block for visual internal urethrotomy in patients with anterior urethral strictures.
  • Allepuz Losa CA et al: [Endoscopic internal urethrotomy guided with transrectal echography].
  • Jordan GH et al: Effect of a temporary thermo-expandable stent on urethral patency after dilation or internal urethrotomy for recurrent bulbar urethral stricture: results from a 1-year randomized trial.
  • Grise P et al: [Calibrated cicatrization of internal urethrotomies over spiral metal endoprosthesis. Preliminary study].
  • Lee K et al: [Internal urethrotomy under urethral anesthesia].
  • Navalón Verdejo P et al: [Internal urethrotomy under direct vision].

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 707427398.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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13. ||........ 25%  Cooper IF, Siadaty MS: 'Therapeutic or Preventive Procedures' associated with 'Laser Urethrotomy': Top Publications. BioMedLib Review; TherapeuticOrPreventive;LaserUrethrotomy:706416963. ISSN: 2331-5717. 2014/12/26
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  • [Title] 'Therapeutic or Preventive Procedures' associated with 'Laser Urethrotomy': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'Therapeutic or Preventive Procedure' for 'laser urethrotomy'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals, and there are many types of 'Therapeutic or Preventive Procedure'.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 21 publications, and group two 100 publications.
  • Here are the top 10.
  • Kumar S et al: Efficacy of holmium laser urethrotomy in combination with intralesional triamcinolone in the treatment of anterior urethral stricture.
  • Jin T et al: Safety and efficacy of laser and cold knife urethrotomy for urethral stricture.
  • Dutkiewicz SA et al: Comparison of treatment results between holmium laser endourethrotomy and optical internal urethrotomy for urethral stricture.
  • Becker HC et al: Transurethral laser urethrotomy with argon laser: experience with 900 urethrotomies in 450 patients from 1978 to 1993.
  • Xiao J et al: [Holmium laser urethrotomy for male urethral stricture].
  • Wang L et al: Thulium laser urethrotomy for urethral stricture: a preliminary report.
  • Kamp S et al: Low-power holmium:YAG laser urethrotomy for treatment of urethral strictures: functional outcome and quality of life.
  • Hossain AZ et al: Holmium laser urethrotomy for urethral stricture.
  • Guo FF et al: [Efficacy of transurethral 2 microm laser urethrotomy in the treatment of urethral stricture and atresia].
  • Liu CL et al: [Transurethral thulium laser urethrotomy for urethral stricture].

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 706416963.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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14. ||........ 23%  Tavakkoli Tabassi K, Yarmohamadi A, Mohammadi S: Triamcinolone injection following internal urethrotomy for treatment of urethral stricture. Urol J; 2011;8(2):132-6
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  • [Title] Triamcinolone injection following internal urethrotomy for treatment of urethral stricture.
  • PURPOSE: To investigate the success rate of internal urethrotomy when combined with corticosteroid injection in urethral scar tissue for treatment of urethral stricture.
  • MATERIALS AND METHODS: We performed a double-blind, randomized, placebo-controlled study on 70 patients with urethral stricture, who underwent internal urethrotomy from June 2003 to July 2008.
  • Patients were randomized into 2 groups; the experimental group (34 patients) who received triamcinolone acetonide injection and the control group (36 patients) that received an injection of sterile water after internal urethrotomy.
  • CONCLUSION: It seems that steroid injection after internal urethrotomy is a safe method, which may delay the recurrence of urethral stricture.

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  • (PMID = 21656472.001).
  • [ISSN] 1735-546X
  • [Journal-full-title] Urology journal
  • [ISO-abbreviation] Urol J
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] Iran
  • [Chemical-registry-number] 0 / Glucocorticoids; F446C597KA / Triamcinolone Acetonide
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15. ||........ 22%  Choi JW, Song PH, Kim HT, Moon KH: Impact of visual internal urethrotomy on sexual function in patients with urethral stricture. J Endourol; 2013 Feb;27(2):214-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Impact of visual internal urethrotomy on sexual function in patients with urethral stricture.
  • BACKGROUND AND PURPOSE: Visual internal urethrotomy (VIU) is an option for the management of urethral stricture.

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  • (PMID = 22992041.001).
  • [ISSN] 1557-900X
  • [Journal-full-title] Journal of endourology / Endourological Society
  • [ISO-abbreviation] J. Endourol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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16. ||........ 22%  Veeratterapillay R, Pickard RS: Long-term effect of urethral dilatation and internal urethrotomy for urethral strictures. Curr Opin Urol; 2012 Nov;22(6):467-73
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Long-term effect of urethral dilatation and internal urethrotomy for urethral strictures.
  • PURPOSE OF REVIEW: Urethral dilatation and direct visual internal urethrotomy (DVIU) are widely used minimally invasive options to manage men with urethral strictures.

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  • (PMID = 22773058.001).
  • [ISSN] 1473-6586
  • [Journal-full-title] Current opinion in urology
  • [ISO-abbreviation] Curr Opin Urol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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17. ||........ 22%  Dubey D: The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures. Indian J Urol; 2011 Jul;27(3):392-6
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  • [Title] The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures.
  • INTRODUCTION: Direct visual internal urethrotomy (DVIU) followed by intermittent self-dilatation (ISD) is the most commonly performed intervention for urethral stricture disease.
  • MATERIALS AND METHODS: A Pubmed database search was performed with the words "internal urethrotomy" and "internal urethrotomy" self-catheterization.
  • Repeated urethrotomies were associated with poor results.
  • There is no role for repeated urethrotomy as outcomes are uniformly poor.

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  • (PMID = 22022065.001).
  • [ISSN] 1998-3824
  • [Journal-full-title] Indian journal of urology : IJU : journal of the Urological Society of India
  • [ISO-abbreviation] Indian J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3193742
  • [Keywords] NOTNLM ; Internal urethrotomy / urethral stricture
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18. ||........ 22%  Dutkiewicz SA, Wroblewski M: Comparison of treatment results between holmium laser endourethrotomy and optical internal urethrotomy for urethral stricture. Int Urol Nephrol; 2012 Jun;44(3):717-24
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  • [Title] Comparison of treatment results between holmium laser endourethrotomy and optical internal urethrotomy for urethral stricture.
  • PURPOSE: We comparatively evaluated urethral stricture (US) treatment outcomes, efficacy and complications, using either holmium laser endourethrotomy (HLU) or optical internal urethrotomy (OIU) since studies such as this are scarce in literature.
  • We found both laser and conventional urethrotomies to be safe and effective modes of treatment.

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  • [Cites] Eur Urol. 2001 Jan;39 Suppl 2:19-22 [11223692.001]
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  • (PMID = 22127409.001).
  • [ISSN] 1573-2584
  • [Journal-full-title] International urology and nephrology
  • [ISO-abbreviation] Int Urol Nephrol
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Randomized Controlled Trial
  • [Publication-country] Netherlands
  • [Other-IDs] NLM/ PMC3358556
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19. ||........ 21%  Rouanet A, Gagnat A, Puichaud A, Briffaux R, Pires C, Doré B, Irani J: [Efficiency and tolerance of intermittent self-dilatation after internal urethrotomy for urethral strictures]. Prog Urol; 2011 Dec;21(13):955-60
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Efficiency and tolerance of intermittent self-dilatation after internal urethrotomy for urethral strictures].
  • OBJECTIVE: To retrospectively evaluate efficiency and tolerance of intermittent self-dilatation (ISD) after unicenter internal urethrotomy (IU) on urethral strictures (US).

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  • [Copyright] Copyright © 2011 Elsevier Masson SAS. All rights reserved.
  • (PMID = 22118361.001).
  • [ISSN] 1166-7087
  • [Journal-full-title] Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
  • [ISO-abbreviation] Prog. Urol.
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] France
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20. ||........ 21%  Lauritzen M, Greis G, Sandberg A, Wedren H, Ojdeby G, Henningsohn L: Intermittent self-dilatation after internal urethrotomy for primary urethral strictures: a case-control study. Scand J Urol Nephrol; 2009;43(3):220-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Intermittent self-dilatation after internal urethrotomy for primary urethral strictures: a case-control study.
  • OBJECTIVE: To retrospectively evaluate the effects of intermittent self-dilatation (ISD) on the natural course of urethral strictures after an internal urethrotomy.
  • MATERIAL AND METHODS: A retrospective case-control analysis of all males who had undergone a first time internal urethrotomy due to a urethral stricture in 1998-2000 at 15 urological departments in Sweden.
  • Out of 217 included patients 162 were treated with internal urethrotomy only and 55 with internal urethrotomy followed by postoperative ISD.
  • The frequency of recurrence after internal urethrotomy was 9% (5/55) in the ISD group and 31% in the non-ISD group (51/162) during the observational follow-up period (p=0.0007).
  • CONCLUSIONS: Postoperative ISD of a urethral stricture, primarily treated by internal urethrotomy, significantly reduces the stricture recurrence rate as well as delaying the time until recurrence.

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  • (PMID = 19353382.001).
  • [ISSN] 0036-5599
  • [Journal-full-title] Scandinavian journal of urology and nephrology
  • [ISO-abbreviation] Scand. J. Urol. Nephrol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Sweden
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21. ||........ 21%  Onur R, Yilmaz E, Onur MR, Orhan I: Urethral erosion of a bone screw after internal urethrotomy: a rare complication after pelvic trauma. Ir J Med Sci; 2010 Sep;179(3):443-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Urethral erosion of a bone screw after internal urethrotomy: a rare complication after pelvic trauma.
  • BACKGROUND: Although screw breakage or loosening are rarely encountered, they were reported to occur after instability of the internal fixation.
  • We present a case in which internal urethrotomy for posterior urethral stricture caused erosion of a bone screw into the urethra which was subsequently removed by anterior meatotomy.
  • [MeSH-major] Bone Screws / adverse effects. Foreign-Body Migration / complications. Fracture Fixation, Internal / adverse effects. Fractures, Bone / surgery. Pelvic Bones / injuries

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  • (PMID = 18850240.001).
  • [ISSN] 1863-4362
  • [Journal-full-title] Irish journal of medical science
  • [ISO-abbreviation] Ir J Med Sci
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Ireland
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22. ||........ 21%  Helmy TE, Hafez AT: Internal urethrotomy for recurrence after perineal anastomotic urethroplasty for posttraumatic pediatric posterior urethral stricture: could it be sufficient? J Endourol; 2013 Jun;27(6):693-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Internal urethrotomy for recurrence after perineal anastomotic urethroplasty for posttraumatic pediatric posterior urethral stricture: could it be sufficient?
  • PURPOSE: To evaluate the long-term outcome of visual internal urethrotomy (VIU) after perineal anastomotic urethroplasty for posttraumatic pediatric posterior urethral strictures.
  • PATIENTS AND METHODS: Data of 22 boys who had undergone internal urethrotomy for recurrent stricture after perineal anastomotic urethroplasty for posttraumatic posterior urethral strictures between 1998 and 2008 were analyzed retrospectively regarding patient age, interval between anastomotic urethroplasty and internal urethrotomy, stricture length, surgical technique, and postoperative complications.
  • The interval between anastomotic urethroplasty and internal urethrotomy was early-after 12 weeks or less-in 13 children or late-beyond 12 weeks-in the remaining 9.

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  • (PMID = 23441683.001).
  • [ISSN] 1557-900X
  • [Journal-full-title] Journal of endourology / Endourological Society
  • [ISO-abbreviation] J. Endourol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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23. ||........ 21%  Heyns CF, van der Merwe J, Basson J, van der Merwe A: Treatment of male urethral strictures - possible reasons for the use of repeated dilatation or internal urethrotomy rather than urethroplasty. S Afr J Surg; 2012 Aug;50(3):82-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Treatment of male urethral strictures - possible reasons for the use of repeated dilatation or internal urethrotomy rather than urethroplasty.
  • OBJECTIVE: To investigate the possible reasons for repeated urethral dilatation or optical internal urethrotomy rather than urethroplasty in the treatment of male urethral strictures.
  • In these groups, previous treatment was dilatation in 70%, 76% and 72%, urethrotomy in 26%, 15% and 28%, and urethroplasty in 4%, 9% and 0, respectively.
  • The group that had undergone urethroplasty compared with 5 - 6 repeated dilatations or urethrotomies was significantly younger (mean age 48.2 v. 60.2 years) with a lower prevalence of co-morbidities (47% v. 80%).
  • CONCLUSIONS: Factors that possibly influenced the decision to perform repeated urethrotomy or dilatation instead of urethroplasty were limited theatre time, increased patient age and the presence of underlying co-morbidities.

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  • (PMID = 22856441.001).
  • [ISSN] 0038-2361
  • [Journal-full-title] South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie
  • [ISO-abbreviation] S Afr J Surg
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] South Africa
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24. ||........ 20%  Jordan GH, Wessells H, Secrest C, Squadrito JF Jr, McAninch JW, Levine L, van der Burght M, United States Study Group: Effect of a temporary thermo-expandable stent on urethral patency after dilation or internal urethrotomy for recurrent bulbar urethral stricture: results from a 1-year randomized trial. J Urol; 2013 Jul;190(1):130-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Effect of a temporary thermo-expandable stent on urethral patency after dilation or internal urethrotomy for recurrent bulbar urethral stricture: results from a 1-year randomized trial.
  • PURPOSE: The long-term success rate of dilation and/or internal urethrotomy is low in cases of recurrent urethral stricture.
  • We investigated the ability of the Memokath™ 044TW stent to maintain urethral patency after dilation or internal urethrotomy for recurrent urethral stricture.
  • MATERIALS AND METHODS: A total of 92 patients with recurrent bulbar urethral strictures (mean length 2.7 cm) were treated with dilation or internal urethrotomy and randomized to short-term urethral catheter diversion (29) or insertion of a Memokath 044TW stent (63).
  • CONCLUSIONS: Patients with recurrent bulbar urethral strictures treated with dilation or urethrotomy and a Memokath 044TW stent maintained urethral patency significantly longer than those treated with dilation or urethrotomy alone.

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  • [Copyright] Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
  • (PMID = 23313208.001).
  • [ISSN] 1527-3792
  • [Journal-full-title] The Journal of urology
  • [ISO-abbreviation] J. Urol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial
  • [Publication-country] United States
  • [Investigator] Jordan GH; Wessells H; Secrest C; Squadrito JF Jr; McAninch J; Levine L; Angermeier K; Miller K
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25. ||........ 20%  Chung JH, Kang DH, Choi HY, Jeong TY, Ha US, Han JH, Yu JH, Cho JM, Yoo TK, Park J, Kim TH, Lee SW: The effects of hyaluronic acid and carboxymethylcellulose in preventing recurrence of urethral stricture after endoscopic internal urethrotomy: a multicenter, randomized controlled, single-blinded study. J Endourol; 2013 Jun;27(6):756-62
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The effects of hyaluronic acid and carboxymethylcellulose in preventing recurrence of urethral stricture after endoscopic internal urethrotomy: a multicenter, randomized controlled, single-blinded study.
  • BACKGROUND: To evaluate the effects of hyaluronic acid (HA) and carboxymethylcellulose (CMC) on the recurrence of urethral stricture after treatment with endoscopic internal urethrotomy (EIU).
  • Patients in group A (60 patients, experimental group) received HA/CMC instillation and patients in group B (60 patients, control group) received lubricant instillation after internal urethrotomy.

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  • [CommentIn] J Endourol. 2014 May;28(5):612 [24171429.001]
  • [CommentIn] J Endourol. 2014 May;28(5):613 [24606225.001]
  • (PMID = 23470209.001).
  • [ISSN] 1557-900X
  • [Journal-full-title] Journal of endourology / Endourological Society
  • [ISO-abbreviation] J. Endourol.
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 9004-32-4 / Carboxymethylcellulose Sodium; 9004-61-9 / Hyaluronic Acid
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26. ||........ 20%  Khan S, Khan RA, Ullah A, ul Haq F, ur Rahman A, Durrani SN, Khan MK: Role of clean intermittent self catheterisation (CISC) in the prevention of recurrent urethral strictures after internal optical urethrotomy. J Ayub Med Coll Abbottabad; 2011 Apr-Jun;23(2):22-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Role of clean intermittent self catheterisation (CISC) in the prevention of recurrent urethral strictures after internal optical urethrotomy.
  • BACKGROUND: Urethral stricture is one of the oldest diseases Urethral dilatation Internal optical urethrotomy,were the only treatment.
  • Objectives were to determine the role of Clean Intermittent Self Catheterisation (CISC) in the prevention of recurrence of urethral strictures after Internal Optical Urethrotomy and to study the frequency of any postoperative complications and tolerability for the patients associated with this procedure.
  • All the patients were treated with Internal Optical Urethrotomy using Sachse method followed by indwelling catheter for 5 days.
  • CONCLUSION: Clean Intermittent Self Catheterisation is a simple and effective way of reducing stricture recurrence after Internal Optical Urethrotomy and is associated with less morbidity and is cost effective.

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  • (PMID = 24800335.001).
  • [ISSN] 1025-9589
  • [Journal-full-title] Journal of Ayub Medical College, Abbottabad : JAMC
  • [ISO-abbreviation] J Ayub Med Coll Abbottabad
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] Pakistan
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27. ||........ 19%  Wani BN, Jajoo SN, Bhole AM: Outcome of urethral strictures managed by general surgeons in a rural setting of India. Indian J Surg; 2011 Oct;73(5):336-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Outcome of all patients was assessed with American Urological Association Urinary Symptom Score and Urinary Flow Rate (ml/sec) before procedure, post procedure and at 6-12 months.
  • Between 2007 and 2009, 110 patients, between 18-75 years of age were enrolled in this study which showed that a third of patients treated with urethral dilatation and optical internal urethrotomy required another intervention.
  • It is conclude that urethral dilatation and internal optical dilatation result in short term improvement in urine flow rates and symptoms.

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  • (PMID = 23024537.001).
  • [ISSN] 0972-2068
  • [Journal-full-title] The Indian journal of surgery
  • [ISO-abbreviation] Indian J Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3208709
  • [Keywords] NOTNLM ; Internal optical urethrotomy / Stricture urethra / Urethral dilatation / Urethroplasty
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28. ||........ 19%  Gücük A, Tuygun C, Burgu B, Oztürk U, Dede O, Imamoğlu A: The short-term efficacy of dilatation therapy combined with steroid after internal urethrotomy in the management of urethral stenoses. J Endourol; 2010 Jun;24(6):1017-21
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  • [Title] The short-term efficacy of dilatation therapy combined with steroid after internal urethrotomy in the management of urethral stenoses.
  • After application of visual internal uretrotomy interna, these patients were randomized into three groups.

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  • (PMID = 20345272.001).
  • [ISSN] 1557-900X
  • [Journal-full-title] Journal of endourology / Endourological Society
  • [ISO-abbreviation] J. Endourol.
  • [Language] eng
  • [Publication-type] Journal Article; Randomized Controlled Trial
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Steroids
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29. ||........ 18%  Launonen E, Sairanen J, Ruutu M, Taskinen S: Role of visual internal urethrotomy in pediatric urethral strictures. J Pediatr Urol; 2014 Jun;10(3):545-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Role of visual internal urethrotomy in pediatric urethral strictures.
  • PURPOSE: To evaluate the efficiency of visual internal urethrotomies (VIUs) in pediatric patients.

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  • [Copyright] Copyright © 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 24388665.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
  • [Keywords] NOTNLM ; Stricture / Urethra / Urethrotomy
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30. ||........ 18%  Diamond DA, Xuewu J, Bauer SB, Cilento BG Jr, Borer JG, Nguyen H, Cendron M, Rosoklija I, Retik AB: What is the optimal surgical strategy for bulbous urethral stricture in boys? J Urol; 2009 Oct;182(4 Suppl):1755-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • We compared our long-term experience with direct vision internal urethrotomy and open repair to define the optimal surgical strategy.
  • MATERIALS AND METHODS: We reviewed the records of 63 patients who underwent direct vision internal urethrotomy or open repair.
  • A total of 46 patients (73%) were treated with 1 or more urethrotomies.
  • Eight of 17 cases required urethroplasty only, whereas in 9 combined open repair and urethrotomy were done.
  • Mean followup was 30 months for urethrotomy and 16 months for open urethroplasty.
  • RESULTS: When direct vision internal urethrotomy was the initial approach, 1 procedure was successful in 28 of 53 cases (53%).
  • Multiple urethrotomies increased the success rate to 59% (43 of 73 cases).
  • The 53 patients with urethrotomy required a total of 84 procedures (mean 1.6 each).
  • When open repair was the initial approach, 1 procedure was successful in 8 of 10 cases (80%).
  • A combined urethrotomy/open approach with 2 procedures was successful in 78% of cases (7 of 9).
  • CONCLUSIONS: Open reconstruction is more successful than direct vision internal urethrotomy as the initial approach to bulbous urethral strictures.
  • Initial direct vision internal urethrotomy is successful in half of the cases and repeat urethrotomy adds little to success.
  • The success of the combined urethrotomy/open approach approximates that of initial open reconstruction.
  • If initial direct vision internal urethrotomy is elected, we advocate only 1 attempt, followed by open end-to-end urethroplasty if necessary.

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  • [CommentIn] J Urol. 2009 Oct;182(4 Suppl):1758 [19692009.001]
  • (PMID = 19692008.001).
  • [ISSN] 1527-3792
  • [Journal-full-title] The Journal of urology
  • [ISO-abbreviation] J. Urol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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31. ||........ 18%  Pfalzgraf D, Häcker A: [Sachse internal urethrotomy: endoscopic treatment of urethral strictures]. Urologe A; 2013 May;52(5):657-61
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Sachse internal urethrotomy: endoscopic treatment of urethral strictures].
  • The most commonly used treatment modality for urethral strictures is the direct visual internal urethrotomy (DVUI) method according to Sachse.
  • Multiple urethrotomy has a negative impact on the success rate of subsequent urethroplasty.
  • After a failed primary DVUI, subsequent urethrotomy cannot be expected to be curative.


32. ||........ 18%  Buckley JC, Heyns C, Gilling P, Carney J: SIU/ICUD Consultation on Urethral Strictures: Dilation, internal urethrotomy, and stenting of male anterior urethral strictures. Urology; 2014 Mar;83(3 Suppl):S18-22
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] SIU/ICUD Consultation on Urethral Strictures: Dilation, internal urethrotomy, and stenting of male anterior urethral strictures.
  • Our objective was to review all contemporary and historial articles on the topic of dilation, internal urethrotomy, and stenting of male anterior urethral strictures.
  • An extensive review of the scientific literature concerning anterior urethral urethrotomy/dilation/stenting was performed.
  • Using criteria set forth by the ICUD, a committee of international experts in urethral stricture disease reviewed the literature and created a consensus statement incorporating levels of evidence and expert opinion in regard to dilation, internal urethrotomy, and stenting of male anterior urethral strictures.

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  • [Copyright] Copyright © 2014 Elsevier Inc. All rights reserved.
  • (PMID = 24286602.001).
  • [ISSN] 1527-9995
  • [Journal-full-title] Urology
  • [ISO-abbreviation] Urology
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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33. ||........ 18%  Isono M, Horiguchi A, Tasaki S, Kuroda K, Sato A, Asakuma J, Seguchi K, Ito K, Hayakawa M, Asano T: [The efficacy of direct vision internal urethrotomy for male urethral stricture]. Nihon Hinyokika Gakkai Zasshi; 2012 Nov;103(6):691-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [The efficacy of direct vision internal urethrotomy for male urethral stricture].
  • OBJECTIVE: Direct vision internal urethrotomy (DVIU) has been considered to be a low invasive and widely used therapeutic modality for male urethral stricture.

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  • (PMID = 24261192.001).
  • [ISSN] 0021-5287
  • [Journal-full-title] Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
  • [ISO-abbreviation] Nippon Hinyokika Gakkai Zasshi
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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34. ||........ 17%  Gormley EA: Vaginal flap urethroplasty for female urethral stricture disease. Neurourol Urodyn; 2010;29 Suppl 1:S42-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • AIMS: Urethral stricture disease in females is uncommon and is often treated with repeat dilation or internal urethrotomies.
  • METHODS: Twelve symptomatic women with a history of traumatic or difficult catheterization, a history of at least 1 urethral dilation or urethrotomy and difficult or a failed attempt at catheter placement underwent urethroplasty.
  • One patient underwent repeat dilation 3 weeks after the primary procedure with no recurrence and another woman required a cystoscopy and catheter insertion in the OR fifty-eight months post operatively.

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  • [Copyright] (c) 2010 Wiley-Liss, Inc.
  • (PMID = 20419801.001).
  • [ISSN] 1520-6777
  • [Journal-full-title] Neurourology and urodynamics
  • [ISO-abbreviation] Neurourol. Urodyn.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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35. ||........ 17%  Singh SK, Agrawal SK, Mavuduru RS: Management of the stricture of fossa navicularis and pendulous urethral strictures. Indian J Urol; 2011 Jul;27(3):371-7
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  • Direct visual internal urethrotomy is limited to selected cases in the management of pendulous urethral stricture.
  • With experience and identification of various prognostic factors, conservative management by dilatation and internal urethrotomy is being replaced by various reconstructive procedures, using skin flaps and grafts with high success rates.
  • Single-stage urethroplasty is preferred over the 2-stage procedure as the latter disfigures the penis and poses sexual problems temporarily.

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  • (PMID = 22022062.001).
  • [ISSN] 1998-3824
  • [Journal-full-title] Indian journal of urology : IJU : journal of the Urological Society of India
  • [ISO-abbreviation] Indian J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3193739
  • [Keywords] NOTNLM ; Balanitis xerotica obliterans / fossa navicularis / lichen sclerosus / local flap / oral mucosa / pendulous urethral stricture
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36. ||........ 17%  Gómez R, Marchetti P, Castillo OA: [Rational and selective management of patients with anterior urethral stricture disease]. Actas Urol Esp; 2011 Mar;35(3):159-66
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • RESULTS: traditionally, anterior urethral stricture has been treated using minimally invasive techniques (dilatation and internal urethrotomy), which are unable to cure more than 30-35% of patients.
  • On the other hand, urethral reconstruction surgery (urethroplasty) is more complex and requires training, however it can cure a wide majority of patients in a single surgical procedure.
  • There is substantial evidence that internal urethrotomy is an excellent method for treating stricture of up to 1cm in length, however its efficacy decreases drastically above 1.5cm.
  • Notwithstanding, urethroplasty is directly indicated for larger strictures, especially if prior urethrotomy failed.
  • CONCLUSION: this procedure must be managed selectively, applying the appropriate treatment aimed at curing and not only palliating the disease.

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  • [Copyright] Copyright © 2010 AEU. Published by Elsevier Espana. All rights reserved.
  • [CommentIn] Actas Urol Esp. 2011 Mar;35(3):167 [21345520.001]
  • (PMID = 21339014.001).
  • [ISSN] 1699-7980
  • [Journal-full-title] Actas urologicas españolas
  • [ISO-abbreviation] Actas Urol Esp
  • [Language] spa
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Spain
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37. ||........ 17%  Anger JT, Buckley JC, Santucci RA, Elliott SP, Saigal CS, Urologic Diseases in America Project: Trends in stricture management among male Medicare beneficiaries: underuse of urethroplasty? Urology; 2011 Feb;77(2):481-5
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  • Treatments were identified using the Physician Current Procedural Terminology Coding System, 4th edition, procedure codes and stratified into 4 treatment types: urethral dilation, direct vision internal urethrotomy, urethral stent/steroid injection, and urethroplasty.
  • Direct vision internal urethrotomy was the most common treatment, followed by urethral dilation, urethral stent/steroid injection, and urethroplasty.
  • Despite the poor overall efficacy of urethrotomy and urethral dilation relative to urethroplasty and despite the known complications of stent placement in this setting, the urethroplasty rates were the lowest of all treatments.

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  • [Copyright] Copyright © 2011. Published by Elsevier Inc.
  • [Cites] J Urol. 2004 Jul;172(1):201-3 [15201773.001]
  • [Cites] J Urol. 2004 Jul;172(1):275-7 [15201793.001]
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  • [CommentIn] Urology. 2011 Feb;77(2):485-6 [21295257.001]
  • (PMID = 21168194.001).
  • [ISSN] 1527-9995
  • [Journal-full-title] Urology
  • [ISO-abbreviation] Urology
  • [Language] eng
  • [Grant] United States / NIDDK NIH HHS / DK / N01 DK012460
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS350357; NLM/ PMC3320109
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38. ||........ 17%  Suh JG, Choi WS, Paick JS, Kim SW: Surgical Outcome of Excision and End-to-End Anastomosis for Bulbar Urethral Stricture. Korean J Urol; 2013 Jul;54(7):442-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • PURPOSE: Although direct-vision internal urethrotomy can be performed for the management of short, bulbar urethral strictures, excision and end-to-end anastomosis remains the best procedure to guarantee a high success rate.
  • A total of 21 patients (63.6%) underwent urethrotomy, dilation, or multiple treatments before referral to our center.
  • At a mean follow-up of 42.6 months (range, 8 to 96 months), 29 patients (87.9%) were symptom-free and required no further procedure.
  • Of four recurrences, one patient was managed successfully by urethrotomy, whereas the remaining three did not respond to urethrotomy or dilation and required additional urethroplasty.
  • However, careful consideration is needed to decide on the surgical procedure if the stricture etiology is nontraumatic.

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  • (PMID = 23878686.001).
  • [ISSN] 2005-6737
  • [Journal-full-title] Korean journal of urology
  • [ISO-abbreviation] Korean J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3715707
  • [Keywords] NOTNLM ; Surgical anastomosis / Treatment outcome / Urethral stricture
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39. ||........ 17%  Abdel-Kader MS, Gadelmoula M, Elderwy A, Elgammal M, Abuzeid AM: Long anterior urethral stricture: Reconstruction by dorsally quilted penile skin flap. Urol Ann; 2013 Jul;5(3):163-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • OBJECTIVES: We'd like to present our experience in treating long (>5 cm) anterior urethral stricture by penile skin flap as dorsal on-lay in one-stage procedure.
  • The complications were fistula in 1 patient (5.5%), re-stricture occurred in 3 patients (16.6%) that required visual internal urethrotomy (VIU), and 2 patients (11%) showed curvature on erection that did not interfere with sexual intercourse.

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  • (PMID = 24049378.001).
  • [ISSN] 0974-7796
  • [Journal-full-title] Urology annals
  • [ISO-abbreviation] Urol Ann
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3764896
  • [Keywords] NOTNLM ; Dorsally quilted flaps / urethral stricture / urethroplasty
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40. ||........ 17%  Abuzeid AM, Abdel Kader MS: Reconstruction of long anterior urethral strictures by dorsally quilted penile skin flap. ISRN Urol; 2012;2012:651513
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Objective. To present the results of reconstruction of long (>5 cm), penile, bulbar, and bulbopenile urethral strictures by penile skin flap as dorsal onlay in one-stage procedure.
  • The complications were fistula in one patient (5.5%), restricture occurred in 3 patients (16.6%) that required visual internal urethrotomy and two patients (11%) showed curvature on erection that dose not interfere with sexual intercourse.

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  • [Cites] J Urol. 1972 Jun;107(6):977-80 [4556041.001]
  • [Cites] J Urol. 1993 Mar;149(3):488-91 [8437252.001]
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  • (PMID = 22567421.001).
  • [ISSN] 2090-5815
  • [Journal-full-title] ISRN urology
  • [ISO-abbreviation] ISRN Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Egypt
  • [Other-IDs] NLM/ PMC3329648
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41. ||........ 17%  Fransis K, Vander Eeckt K, Van Poppel H, Joniau S: Results of buccal mucosa grafts for repairing long bulbar urethral strictures. BJU Int; 2010 Apr;105(8):1170-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Seven patients (21%) had had one or more previous urethral dilatations, 15 (44%) had undergone one or more internal urethrotomies and 10 (30%) received both treatments.
  • Both failures occurred within the first year and were managed successfully by internal urethrotomy.

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  • [Copyright] © 2009 THE AUTHORS. JOURNAL COMPILATION © 2009 BJU INTERNATIONAL.
  • (PMID = 19818080.001).
  • [ISSN] 1464-410X
  • [Journal-full-title] BJU international
  • [ISO-abbreviation] BJU Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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42. ||........ 17%  Horiguchi A, Sumitomo M, Kanbara T, Tsujita Y, Yoshii T, Yoshii H, Satoh A, Asakuma J, Ito K, Hayakawa M, Asano T: [Oral mucosa graft urethroplasty for complicated urethral strictures]. Nihon Hinyokika Gakkai Zasshi; 2010 Mar;101(3):547-53
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • OBJECTIVE: We evaluated the efficacy and outcome of one-stage oral mucosa graft urethroplasty, which is currently the procedure of choice for treating lengthy and complicated urethral strictures not amenable to excision and primary end-to-end anastomosis.
  • All patients had previously undergone either internal urethrotomy or repeated urethral dilation.
  • RESULTS: While no severe complications at the donor site were observed during follow-up periods ranging from 3 to 55 months (mean = 14 months), two patients who had received a tube graft developed distal anastomotic ring strictures that were managed by internal urethrotomy.
  • The other five required no postoperative urological procedure even though one who had received a ventral onlay developed a penoscrotal fistula.
  • CONCLUSION: Oral mucosa is an ideal urethral graft, and oral mucosa graft urethroplasty is an effective procedure for repairing complicated urethral strictures involving long portions of the urethra.

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  • (PMID = 20387514.001).
  • [ISSN] 0021-5287
  • [Journal-full-title] Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
  • [ISO-abbreviation] Nippon Hinyokika Gakkai Zasshi
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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43. ||........ 17%  Koraitim MM: Unsuccessful outcomes after posterior urethroplasty: definition, diagnosis, and treatment. Urology; 2012 May;79(5):1168-73
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • METHODS: We identified 20 successive patients who required a secondary endoscopic or surgical procedure after anastomotic repair of a postpelvic fracture urethral injury from 1979 to 2010.
  • Of the 20 patients, 18 had undergone perineal repair and 2 a perineo-abdominal procedure.
  • Late failures resulted from narrowing of the anastomosis and were corrected by direct visual internal urethrotomy in 7 patients and surgery in 2.
  • Late cases present by a weak urinary stream, are due to narrowing of the anastomosis, and are usually corrected by direct visual internal urethrotomy.

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  • [Copyright] Copyright © 2012 Elsevier Inc. All rights reserved.
  • [CommentIn] Urology. 2012 May;79(5):1173-4; author reply 1174 [22449450.001]
  • [CommentIn] J Urol. 2012 Dec;188(6):2266-7 [23141247.001]
  • (PMID = 22449452.001).
  • [ISSN] 1527-9995
  • [Journal-full-title] Urology
  • [ISO-abbreviation] Urology
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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44. ||........ 17%  Samalavicius NE, Lunevicius R, Gupta RK, Poskus T, Ulys A: Gracilis muscle interposition with primary rectal without urethral repair for moderate sized rectourethral fistula caused by brachytherapy for prostate cancer: a case report. J Med Case Rep; 2012;6:323
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The patient underwent an optic internal urethrotomy 3Â months later for a 1.5cm-long urethral stricture.
  • Internal urethrotomy is a procedure for postoperative urethral strictures of 1.5cm in length.

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  • (PMID = 23009550.001).
  • [ISSN] 1752-1947
  • [Journal-full-title] Journal of medical case reports
  • [ISO-abbreviation] J Med Case Rep
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC3485089
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45. ||........ 17%  Shimizu T, Takahashi A, Ichihara K, Shinkai N, Ikeda T, Nojima M, Takagi Y: [Anastomotic stricture following radical retropubic prostatectomy: insights into incidence, management and factors predisposing for occurrence]. Nihon Hinyokika Gakkai Zasshi; 2012 Jul;103(4):604-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • We assessed the relationship between the management method for AS and time interval between the surgical procedure and diagnosis of the stricture.
  • In two patients a urethral bougie was used and 11 underwent internal urethrotomy.
  • Of the 8 patients whose strictures were diagnosed within 3 months after surgery and underwent internal urethrotomy, 6 had recurrent anastomotic strictures.

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  • (PMID = 23120994.001).
  • [ISSN] 0021-5287
  • [Journal-full-title] Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
  • [ISO-abbreviation] Nippon Hinyokika Gakkai Zasshi
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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46. ||........ 17%  Min BD, Lee ET, Kim WT, Kim YJ, Yun SJ, Lee SC, Kim WJ: Tubal Buccal Mucosa Graft without Anastomosis of the Proximal Urethra for Long Segment Posterior Urethral Defect Repair. Korean J Urol; 2012 Oct;53(10):737-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • An additional 4 failed internal urethrotomies were performed before the patient visited Chungbuk National University Hospital.

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  • [Cites] J Urol. 1994 Apr;151(4):1056-8 [8126791.001]
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  • [Cites] Urol J. 2005 Fall;2(4):206-10 [17602431.001]
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  • (PMID = 23136637.001).
  • [ISSN] 2005-6745
  • [Journal-full-title] Korean journal of urology
  • [ISO-abbreviation] Korean J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC3490097
  • [Keywords] NOTNLM ; Mouth mucosa / Transplants / Urethral stricture
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47. ||........ 17%  Sharma V, Kumar S, Mandal AK, Singh SK: A study on sexual function of men with anterior urethral stricture before and after treatment. Urol Int; 2011;87(3):341-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Patients without history of prior optical internal urethrotomy or dilatations reported a significant improvement in their ejaculatory function and overall satisfaction.
  • A successful urethral reconstructive procedure leads to rehabilitation of the patient back into a healthy sexual life.

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  • [Copyright] Copyright © 2011 S. Karger AG, Basel.
  • (PMID = 21952068.001).
  • [ISSN] 1423-0399
  • [Journal-full-title] Urologia internationalis
  • [ISO-abbreviation] Urol. Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Switzerland
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48. ||........ 17%  Gargollo PC, Cai AW, Borer JG, Retik AB: Management of recurrent urethral strictures after hypospadias repair: is there a role for repeat dilation or endoscopic incision? J Pediatr Urol; 2011 Feb;7(1):34-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • METHODS: All cases of urethral strictures after hypospadias repair treated with direct vision internal urethrotomy (DVIU), dilation or urethroplasty at our institution from 1997 to 2007 were included.
  • Choice of therapy between repeat dilation/DVIU and urethroplasty at the second procedure showed a statistically significant higher success rate in the urethroplasty group (67% vs 17%, P=0.03).


49. ||........ 17%  Singh BP, Pathak HR, Andankar MG: Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach. Indian J Urol; 2009 Apr;25(2):211-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • CONTEXT: For management of long segment anterior urethral stricture, dorsal onlay urethroplasty is currently the most favored single-stage procedure.
  • RESULTS: After a follow-up of 12-30 months, one recurrence developed and 1 patient needed an internal urethrotomy.

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  • [Cites] Int J Urol. 2008 Oct;15(11):1002-5 [18808427.001]
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  • (PMID = 19672349.001).
  • [ISSN] 0970-1591
  • [Journal-full-title] Indian journal of urology : IJU : journal of the Urological Society of India
  • [ISO-abbreviation] Indian J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC2710067
  • [Keywords] NOTNLM ; Onlay patch / stricture urethra / urethroplasty
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50. ||........ 17%  Goel A, Goel A, Sankhwar SN: Is urethral stricture only a circumferential disease? Reason for change in the plan of urethroplasty for bulbous urethral strictures shorter than 2 cm. Indian J Urol; 2013 Jan;29(1):27-30
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Comparing the two groups we found that Group 2 patients had undergone more internal urethrotomies (mean 2.45±0.88 vs. 1.58±0.63; P=0.005) and had longer stricture length as compared to men in Group 1 (mean 1.8±0.83 vs. 1.48±0.23 cm; P=0.005).

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  • (PMID = 23671361.001).
  • [ISSN] 0970-1591
  • [Journal-full-title] Indian journal of urology : IJU : journal of the Urological Society of India
  • [ISO-abbreviation] Indian J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3649596
  • [Keywords] NOTNLM ; Reconstruction / urethra / urethral stricture / urethroplasty
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2. Definitions


3. Related RMF webpages
1. internal urethrotomy procedure
2. dvu direct vision urethrotomy
3. removal of internal fixation device procedure
4. open reduction of fracture with internal fixation procedure
5. excision of internal mammary lymph nodes procedure
6. open reduction of fracture of foot with internal fixation procedure
7. open reduction of fracture of humerus with internal fixation procedure
8. hemorrhoids internal
9. internal fixators
10. internal capsule
11. hemorrhage internal
12. internal medicine
13. carotid artery internal
14. internal foetal monitoring
15. internal ear infection
16. internal hemorrhoids prolapsed
17. hemorrhage internal capsule
18. internal ophthalmoplegia disorder
19. fixation internal fracture
20. hemorrhage internal newborn
21. fracture fixation internal
22. internal external control
23. failed version internal
24. fixation internal hemorrhage
25. congestive internal organs
26. pathological resorption internal
27. injury thorax thoracic internal
28. complications internal fixation pain
29. disruption of internal surgical wound
30. change fixation device internal
31. injury of internal organ disorder
32. complications internal fixation hemorrhage
33. complications c intestinal internal
34. complications internal fixation thrombosis
35. fixation device internal removal
36. complications internal fixation stenosis
37. complications internal fixation embolism
38. anastomosis complications intestinal internal
39. internal fixation of bone prophylactic
40. fracture of internal fixation patella of
41. fixation internal simple spine of
42. carotid artery internal dissection
43. tibia fixation of with osteotomy internal
44. fixation with internal ulna osteotomy of
45. radius with osteotomy internal fixation of
46. with fibula fixation internal of osteotomy
47. of fracture fixation acetabulum internal of
48. graft to internal bone scaphoid fixation with
49. of osteotomy femur internal with fixation distal
50. of of femur of internal radiography fracture fixation

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