Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty.
Background: The most commonly used treatment modality for urethral strictures is the direct visual internal urethrotomy method according Sachse cold knife, but with low long-term success rate. Alternative method after failure is isurethroplasty with preputial flap or Buccal mucosa. The aim of this p...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Albanian Society for Trauma and Emergency Surgery
2018-07-01
|
| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | http://journal.astes.org.al/index.php/AJTES/article/view/8 |
| _version_ | 1811230031367634944 |
|---|---|
| author | Astrit Mustafa Evisa Zhapa Francesco Saverio Grossi |
| author_facet | Astrit Mustafa Evisa Zhapa Francesco Saverio Grossi |
| author_sort | Astrit Mustafa |
| collection | DOAJ |
| description | Background: The most commonly used treatment modality for urethral strictures is the direct visual internal urethrotomy method according Sachse cold knife, but with low long-term success rate. Alternative method after failure is isurethroplasty with preputial flap or Buccal mucosa. The aim of this presentation is to report the efficacy of the Internal Urethrotomy with Holmium Laser (Sachse laser).
Material and methods: We report three cases of urethral stenosis after trauma which treated with Internal Urethrotomy with Holmium Laser (Sachse laser) after failure of multiple treatments with Sachse cold knife. We evaluated and compared the uroflowmetry parameters before and after Sachse laser.
Results: The average of uroflowmetry parameters before incision were: Q max 4.5 ml/sec, Q med 3 ml/sec. Voided Volume 323 cc, while after incision with Sachse laser were: Q max 30 ml/sec, Q med 12 ml/sec. Voided Volume 363 cc.No patients relapsed during follow-up time from 3 to 24 months.
Conclusion: Even though these are only a few cases, we think that Sachse laser is a valid alternative after unsuccessful Sachse cold knife and before Urethroplasty, even in patients with urethral stricture after trauma. |
| first_indexed | 2024-04-12T10:23:21Z |
| format | Article |
| id | doaj.art-0a362dd0897e4bab812a17f18a46dd9d |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-04-12T10:23:21Z |
| publishDate | 2018-07-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-0a362dd0897e4bab812a17f18a46dd9d2022-12-22T03:37:02ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222018-07-012210.32391/ajtes.v2i2.88Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty.Astrit Mustafa0Evisa Zhapa1Francesco Saverio Grossi2University Hospital of Trauma Tirana, AlbaniaUniversity Hospital of Trauma, Tirana, AlbaniaUrology Department, Italo-Albanian, “Salus” Hospital, Tirana, AlbaniaBackground: The most commonly used treatment modality for urethral strictures is the direct visual internal urethrotomy method according Sachse cold knife, but with low long-term success rate. Alternative method after failure is isurethroplasty with preputial flap or Buccal mucosa. The aim of this presentation is to report the efficacy of the Internal Urethrotomy with Holmium Laser (Sachse laser). Material and methods: We report three cases of urethral stenosis after trauma which treated with Internal Urethrotomy with Holmium Laser (Sachse laser) after failure of multiple treatments with Sachse cold knife. We evaluated and compared the uroflowmetry parameters before and after Sachse laser. Results: The average of uroflowmetry parameters before incision were: Q max 4.5 ml/sec, Q med 3 ml/sec. Voided Volume 323 cc, while after incision with Sachse laser were: Q max 30 ml/sec, Q med 12 ml/sec. Voided Volume 363 cc.No patients relapsed during follow-up time from 3 to 24 months. Conclusion: Even though these are only a few cases, we think that Sachse laser is a valid alternative after unsuccessful Sachse cold knife and before Urethroplasty, even in patients with urethral stricture after trauma.http://journal.astes.org.al/index.php/AJTES/article/view/8treatment modalityurethral stricturesalternative method |
| spellingShingle | Astrit Mustafa Evisa Zhapa Francesco Saverio Grossi Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty. Albanian Journal of Trauma and Emergency Surgery treatment modality urethral strictures alternative method |
| title | Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty. |
| title_full | Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty. |
| title_fullStr | Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty. |
| title_full_unstemmed | Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty. |
| title_short | Sachse Laser in post-trauma urethral stricture. A valid alternative before urethroplasty. |
| title_sort | sachse laser in post trauma urethral stricture a valid alternative before urethroplasty |
| topic | treatment modality urethral strictures alternative method |
| url | http://journal.astes.org.al/index.php/AJTES/article/view/8 |
| work_keys_str_mv | AT astritmustafa sachselaserinposttraumaurethralstrictureavalidalternativebeforeurethroplasty AT evisazhapa sachselaserinposttraumaurethralstrictureavalidalternativebeforeurethroplasty AT francescosaveriogrossi sachselaserinposttraumaurethralstrictureavalidalternativebeforeurethroplasty |