Efficiency of Cold vs. Laser Internal Urethrotomy Treatment of Urethral Strictures
Efficiency of Cold vs. Laser Internal Urethrotomy Treatment of Urethral Strictures
The purpose of this study is to determine whether laser internal urethrotomy (IU) is as
 efficient as cold knife internal urethrotomy for treatment of anterior urethral strictures
 regarding post operative urination outflow, stricture recurrence rate and possible post-
 operative complications
The current surgical treatment for anterior urethral stricture includes internal urethrotomy
 (IU) by cold knife. Recurrence rate after such procedure is quoted as 35-70% in 2 to 5 years
 follow-up. Possible surgical alternative procedures include: open surgical urethral
 re-construction, urethral stents usage & laser IU. According to existing data (Nd-YAG laser-
 retrospective) the recurrence rate after laser IU is far better comparing to cold knife
 urethrotomy. The current research intends to address this question using prospective
 randomized methods.
Inclusion Criteria:

 -  Men over 18 years old with urethral stricture

 Exclusion Criteria:

 -  S/P urethral reconstruction

 -  Posterior urethral strictures

 -  Children