Comparison Of Urethral Stricture With Transurethral Bipolar Plasma Resection And Transurethral Resection

OBJECTIVE: The endovascular treatment of urethral stricture has become the gold standard, compared with open surgery used previously it is a more satisfactory efficacy, but a higher recurrence rate is noticed as one of urological problems. We reviewed the data of clinical patients a summary of the urethral stricture 1993～2007, compared to the transurethral resection with the transurethral bipolar plasma resection for treatment of urethral stricture of clinical data to explore the effective management to improve efficacy of treatment.METHODS: 56cases of surgical treatment of urethral stricture were performed at our hospital since 1993 to 2007, including one of ordinary electric shear line group 31 cases, bipolar plasma 25 cases of transurethral resection group. 25 cases in this group, aged 21-78 years old, average 36.8 years old, history of 6 months to 18 years, an average of 3.5 years. 25 cases are accepted in the expansion of treatment but effects are not lasting, can not improve urination. After transurethral resection of bipolar plasma treatment, and using self-made multi-side hole catheter drainage catheter to flushing. Insist postoperative follow-up, regular urethral expansion flow rate detection.RESULTS: 25 cases in transurethral bipolar plasma resection group, 22 cases were successful once operations, 3 cases were recieved the operations again. After transurethral resection all were irrigated to bladder continuously two weeks, catheter were extracted after retention of 4 to 6 weeks. The urethral can be passed into catheter of F18-24, the maximum flow rate Qmax in 26 (6±3) ml / s.After catheter were extracted,all patients were expansion to urethral a week for lasted 1～3 months. All patients were satisfied with the follow-up 3 to 28 months, an average of 18 months, the maximum flow rate Qmax remained at 25 (8±3) ml / s, the bladder without residual urine.CONCLUSIONS: transurethral bipolar plasma resection treatment of urethral stricture can not only avoid the incomplete of cold knife scar excision, but also a reduce the surrounding tissue thermal injury of ordinary transurethral resection, combined with postoperative multi-side hole catheter to reduce the inflammatory the impact of the material the chances of infection. Treatment of urethral stricture is an efficient, safe, less complicated and low recurrence rate and can be used as the treatment of urethral stricture and atresia.