Optical internal urethrotomy under local anaesthesia

Abstract

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 mini-mum. Method: We analysed our patients between Jan ′93 to Jan ′98, who underwent repeated optical internal ure-throtomy (0.1. U.) under local anaesthesia. A total number of 220 patients of stricture urethra underwent internal ure-throtomy under local anaesthesia as a day care proce-dure 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 depend-ing 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 per-formed under local anaesthesia as a day-care procedure and the procedure is well tolerated by the patient without any hospitalisation and anaesthesia risk.

Keywords

• Stricture; Urethrotomies; Internal; Anaesthesia