Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes
Objective: In this study, the efficacy, complication rates, and treatment results of cold knife and holmium:yttrium aluminum garnet (Ho:YAG) laser for treating urethral stricture was compared. Materials and Methods: A total of 364 cases were operated with the diagnosis of urethral stricture between...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-12-01
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| Series: | Journal of Urological Surgery |
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| Online Access: |
http://jurolsurgery.org/archives/archive-detail/article-preview/comparison-of-using-cold-knife-and-holmium-laser-i/61288
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| _version_ | 1797390210976186368 |
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| author | Fatih Akdemir Emrah Okulu Önder Kayıgil |
| author_facet | Fatih Akdemir Emrah Okulu Önder Kayıgil |
| author_sort | Fatih Akdemir |
| collection | DOAJ |
| description | Objective: In this study, the efficacy, complication rates, and treatment results of cold knife and holmium:yttrium aluminum garnet (Ho:YAG) laser for treating urethral stricture was compared. Materials and Methods: A total of 364 cases were operated with the diagnosis of urethral stricture between 2010 and 2020. Of these patients, 176 were operated using a cold knife and 188 using a Ho:YAG laser. Preoperatively and postoperatively, uroflowmetry, post-voiding residue (PVR), International Prostate Symptom Score (IPSS), and IPSS/quality of life (IPSS/QoL) values were determined in all patients. Additionally, complication rates, operation times, and stricture recurrence rates were determined. Results: The length of the stricture in all cases was less than 3 cm. The maximum flow rate (Qmax), average flow rate (Qave), PVR, IPSS and IPSS/QoL values of the patients were determined as 8.16/6.45 mL/s, 4.36/4.62 mL/s, 124.50/135.65 mL, 20.33/23.55, 5.25/5.40 in the preoperative period in group 1 and group 2, respectively. In the postoperative 12th months, it was determined as 25.43/27.48 mL/s, 21.32/23.08 mL/s, 25.50/19.04 mL, 7.08/6.06, and 1.36/1.23. Stricture recurrence rates were 29.54% (n=52) and 10.63% (n=20) in groups 1 and 2, respectively. Conclusion: Long-term recurrence rates are lower with the use of Ho:YAG laser in urethral strictures compared to cold knife. |
| first_indexed | 2024-03-08T23:08:28Z |
| format | Article |
| id | doaj.art-5bbbcaa86a7346eab174c134f3923c23 |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-03-08T23:08:28Z |
| publishDate | 2023-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-5bbbcaa86a7346eab174c134f3923c232023-12-15T10:16:31ZengGalenos YayineviJournal of Urological Surgery2148-95802023-12-0110431532010.4274/jus.galenos.2023.2022.009113049054Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term OutcomesFatih Akdemir0Emrah Okulu1Önder Kayıgil2 Samsun Terme State Hospital, Clinic of Urology, Samsun, Turkiye Ankara Yıldırım Beyazıt University Faculty of Medicine, Department of Urology, Ankara, Turkiye Ankara Yıldırım Beyazıt University Faculty of Medicine, Department of Urology, Ankara, Turkiye Objective: In this study, the efficacy, complication rates, and treatment results of cold knife and holmium:yttrium aluminum garnet (Ho:YAG) laser for treating urethral stricture was compared. Materials and Methods: A total of 364 cases were operated with the diagnosis of urethral stricture between 2010 and 2020. Of these patients, 176 were operated using a cold knife and 188 using a Ho:YAG laser. Preoperatively and postoperatively, uroflowmetry, post-voiding residue (PVR), International Prostate Symptom Score (IPSS), and IPSS/quality of life (IPSS/QoL) values were determined in all patients. Additionally, complication rates, operation times, and stricture recurrence rates were determined. Results: The length of the stricture in all cases was less than 3 cm. The maximum flow rate (Qmax), average flow rate (Qave), PVR, IPSS and IPSS/QoL values of the patients were determined as 8.16/6.45 mL/s, 4.36/4.62 mL/s, 124.50/135.65 mL, 20.33/23.55, 5.25/5.40 in the preoperative period in group 1 and group 2, respectively. In the postoperative 12th months, it was determined as 25.43/27.48 mL/s, 21.32/23.08 mL/s, 25.50/19.04 mL, 7.08/6.06, and 1.36/1.23. Stricture recurrence rates were 29.54% (n=52) and 10.63% (n=20) in groups 1 and 2, respectively. Conclusion: Long-term recurrence rates are lower with the use of Ho:YAG laser in urethral strictures compared to cold knife. http://jurolsurgery.org/archives/archive-detail/article-preview/comparison-of-using-cold-knife-and-holmium-laser-i/61288 urethral strictureho:yag lasercold knife |
| spellingShingle | Fatih Akdemir Emrah Okulu Önder Kayıgil Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes Journal of Urological Surgery urethral stricture ho:yag laser cold knife |
| title | Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes |
| title_full | Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes |
| title_fullStr | Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes |
| title_full_unstemmed | Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes |
| title_short | Comparison of Using Cold Knife and Holmium Laser in Urethral Stricture: Long-term Outcomes |
| title_sort | comparison of using cold knife and holmium laser in urethral stricture long term outcomes |
| topic | urethral stricture ho:yag laser cold knife |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/comparison-of-using-cold-knife-and-holmium-laser-i/61288
|
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