Transurethral Urethrotomy Under Vision

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Abstract
Transurethral urethrotomy under vision with the Sachse urethrotome is a new surgical procedure for treatment of urethral strictures. The chief advantage of the urethrotome is the fact that strictures may be cut selectively and accurately under clear vision. The procedure is less painful than blind internal urethrotomy, and less extensive cases may be done with the patient under local anesthesia. Cases (36) with at least 6 mo. followup are reported. In 20 cases, strictures were distal to the prostate and results were considered good in 16, improved in 3 and a failure in 1. The other 16 cases involved vesical neck contractures, and all patients had good results. The technique for urethral strictures distal to the prostate and for vesical neck contractures is described, and postoperative treatment is emphasized and discussed.