A COMPARATIVE STUDY OF OPTICAL INTERNAL URETHROTOMY ALONE WITH OPTICAL INTERNAL URETHROTOMY PLUS STEROID FOR ANTERIOR URETHRAL STRICTURE DISEASE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 24
Abstract
BACKGROUND Urethral stricture is a relatively common urological disorder, which every urologist encounters in his regular urological practice. They pose a significant problem from both clinical and economic point of view. The aetiology of stricture of urethra has changed over time. Trauma has taken over infection as the commonest cause. The management of stricture also has evolved over the times. Despite the availability of various options for the treatment of stricture urethra, internal urethrotomy has remained a popular option among the urologists in view of its simplicity, safety and shorter learning curve. Aims and Objectives- To compare the outcome of optical internal urethrotomy between OIU alone and OIU with steroid injection at the site of stricture by means of recurrence rate and time duration for recurrence and symptom improvement in stricture patients. MATERIALS AND METHODS This is a prospective, randomised, controlled study by which comparing the outcome of optical internal urethrotomy alone with urethrotomy with steroid injection in the management of stricture disease in males is done. The study done during the period of January 2016 and December 2016 at Kilpauk Medical College Hospital and Government Royapettah Hospital, Chennai. RESULTS In first three months, there was no recurrence in both groups. In OIU group alone, in 6th month, 3 patients came with recurrence, 4 patients came in 9th month, 2 patients came in 12th month and in 15th month totally 11 patients (36.6%). In OIU plus steroid group 1 patient came with recurrence in 12th month and 3 patients in 15th month, totally 4 patients (13.3%). The p-value was < 0.05, which was statistically significant difference. The most common age group in both Group A and B was 41 to 50; Group A was 43.3% and in Group was B 50%. Comorbidities were almost similar in both groups. DM in Group A was 23.3% and in Group B was 30%. HT in Group A was 36.6% and in Group B was 26.6%. CONCLUSION The clinical decision of stricture-recurrence-prevention techniques should be carefully tailored to every individual patient. Steroid injection to the stricture site to avoid fibrosis is a safe and effective adjuvant therapy. No complications were noted due to the steroid injections. Despite the benefits of these materials, steroids comes on top due to its cost effectiveness, lower side effects and also widespread usage in general medicine.
Authors and Affiliations
Sivsankar Govindaraju, Arulkumar Ettappan
Keywords
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- EP ID EP450521
- DOI 10.14260/jemds/2018/639
- Views 96
- Downloads 0
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