ENDOURETHROTOMY OF POSTERIOR URETHRAL OBLITERATIONS AND SEVERE STRICTURES - IMPROVED OUTCOME WITH URETHRAL SELF-DILATATION

Eighteen male patients underwent endoscopic management of urethral obl iterations and severe strictures of the subprostatic urethra. Thirteen patients who performed clean urethral self-dilatation after endoscopi c repair had a lower incidence of recurrent strictures (P = 0.03) and required fewer visual internal urethrotomies than the initial five pat ients, who did not self-dilate (P = 0.01), All patients had minimal mo rbidity and required short hospitalization to achieve adequate urine f low and a stable urethral neolumen during the follow-up period.