Direct Vision Internal Urethrotamy. A Critical Review of 365 Operations

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Abstract
Internal urethrotomy under direct vision for urethral strictures in the male was employed on 369 occasions in 225 patients during a 4 yr period. A retrospective review of results showed an overall cure rate of 77% but the cure rate after each individual operation was < 50%. Operations for recurrence carried a significantly lower cure rate than initial operations but even after several recurrences there were reasonably good results considering the relatively minor procedure. An active postoperative follow-up employing routine urethroscopy showed significantly better results than mictiographic follow-up. The postoperative period of catheterization and positive urine culture at the time of follow-up had no significant influence on the results.