Endoscopic urethrotomy

Urethrotomy, also known as direct vision internal urethrotomy, is a surgical procedure used to treat urethral stricture disease. 1  It is an outpatient surgery that involves using a urethrotome or a surgical knife passed through a cystoscope to widen a narrowed urethra Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men There were insufficient data to determine which intervention is best for urethral stricture disease in terms of balancing efficacy, adverse effects and costs

Endoscopic urethrotomy. For this procedure, your doctor inserts a thin optical device (cystoscope) into your urethra, then inserts instruments through the cystoscope to remove the stricture or vaporize it with a laser. This surgical procedure offers a faster recovery, minimal scarring and less risk of infection, although recurrence is possible For endoscopic, transurethral management of urethral stricture disease, patients are typically placed in the dorsal lithotomy position. Following administration of anesthesia, the patient's buttocks are moved to the edge of the bed. The lower legs are placed in stirrups. The arms are either tucked to the sides or secured in arm boards Dr. Viers notes: The recent American Urological Association urethral stricture guideline considers endoscopic management via dilation or internal urethrotomy a first line option for the initial treatment of short ― less than 2 cm ― bulbar urethral strictures Advanced Endoscopy Devices' line of urethrotomes are manufactured with high quality materials to ensure longevity. Our instruments are compatible with various cold-cutting knives, like the standard or half-moon knife. With the aid of smooth-operating working elements, our equipment aids in providing maximum control throughout the urology. In a urethrotomy, a surgeon uses a special endoscope, which is a thin instrument with a light embedded in the tip, to make an incision in the part of the urethra that is blocking the flow of urine. The incision helps widen the stricture. After this procedure, a catheter is left in place for a few days to divert urine away from the urethra.

Cystourethroscopy is an endoscopic evaluation in which a small instrument that is a thin tube (cystoscope) with a light within it and a camera at the tip is inserted into the urethra to look directly at the inside (lumen) of the urethra From Wikipedia, the free encyclopedia A urethrotomy is an operation which involves incision of the urethra, especially for relief of a stricture. It is most often performed in the outpatient setting, with the patient (usually) being discharged from the hospital or surgery center within six hours from the procedure's inception Endoscopic procedures to treat urethral stricture disease rarely result in permanent cure of the condition The two main techniques are internal optical urethrotomy and urethral dilatation They are often used as an initial treatment for a stricture because they are less invasive than reconstructive surger first endoscopic urethrotomy was performed in 1893 by Felix Martin Oberländer in Dresden, Germany. With the introduction of endoscopic laser therapy and the variety of urethral reconstruction methods other ways to treat this important urologic entity became available. Despite this progress, urethrotomy stil A total of 171 patients who underwent endoscopic surgery for urethral strictures between 2010 and 2018 were evaluated retrospectively. Since laser was not used in our clinic until 2015, the patients were treated with cold knife urethrotomy (group-1). Group-2 patients include all patients who consulted after 2015, and underwent laser urethrotomy

The standard approach is endoscopic urethrotomy. The alternative is open urethroplasty. This study wanted to find out which operation was preferable in terms of symptom control, time before further surgery and which operation was best value for the NHS. All aspects of the study were informed by patients The endoscopic internal urethrotomy is a simple method, of fast realization, devoid of major morbidity and requiring only a short hospitalization. The aim of our work is the retrospective evaluation of the results of the treatment of urethral strictures by endoscopic internal urethrotomy in a series of 233 cases. 2 Initial treatment is usually by endoscopic urethrotomy, a procedure that produces widening of the narrowed urethral segment by incising the stricture internally under vision. In about 50% of the cases the stricture will recur requiring re-treatment [ 1 ] A second endoscopic urethrotomy gave only very little chance of a definitive recovery. Although the results were not constantly excellent, the series studied by the authors shows that endoscopic internal urethrotomy offers the possibility by a simple technique of obtaining a certain number of durable successes whilst not interfering with the. Endoscopic urethrotomy is a procedure that all operating urologists have competency for and will take place at the hospital site where the participant was randomised. Open urethroplasty is a specialised procedure carried out for trial participants by urologists recognised as being urethral surgeons by their employing NHS organisation

Direct Vision Internal Urethrotomy Definition. Direct vision internal urethrotomy (DVIU) is surgery to repair a narrowed section of the urethra. This is referred to as a stricture. The urethra is the tube that carries urine from the bladder to the outside of the body. Reasons for Procedure. Urethral stricture is due to scarring of the urethra Urethral stricture is a common condition that can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention. Treatment options include catheterization, urethroplasty, endoscopic internal urethrotomy, and dilation of open urethroplasty compared to endoscopic ure-throtomy over a 24-month period. As urethroplasty was a priori expected to be both more eective and more costly than endoscopic urethrotomy, with its benets persisting beyond 24 months, Markov modelling [10] was conducted to examine the relative eciency with a 10-year time horizon Dr J.D. AnsariMBBS, MS, FMAS, FIAGES, FALS{Laparoscopic & Endoscopic (Urology) Surgeon CPT Codes 51520 Cystotomy; for simple excision of vesical neck (separate procedure) 51800 Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck 52275 Cystourethroscopy, with internal urethrotomy; male 52276 Cystourethroscopy with direct vision.

Urethrotomy: Uses, Side Effects, Procedure, and Result

A urethrotomy is preferred if the length is less than 1 cm, and a urethroplasty is indicated when the length is greater than 1 cm.[sup.10,11] The results obtained after endoscopic treatment or open surgery vary depending on the series and various factors such as the location or size of the stricture or etiology; however, these procedures have. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators. The authors report a series of 157 stenoses of the urethra treated by endoscopic urethrotomy between 1991 and 1997. After a first urethrotomy the success rate is 51.8%, with a decline of one year. Mortality is zero, and the morbidity assessed at 9% Definition: Internal Urethrotomy consists in the endoscopic treatment of the narrowings of the urethral canal of different etiology. The aim is the incision and opening of the narrow urethral canal in the hope that this increase in caliber will be maintained over time

Simple urethral dilatation, endoscopic urethrotomy, and

Endoscopic urethrotomy is the surgical procedure of choice if ureteral stricture has not occurred previously This website uses cookies, with the help of which we collect anonymized data in order to analyze the access to our website. We ask for your consent for this Endoscopic management is performed by either urethral dilation or direct vision internal urethrotomy (DVIU). There are a multitude of different urethroplasty techniques that can be generally divided into tissue transfer involved procedures and non -tissue transfer involved procedures Giannakopoulos X et al. (1997) Sachse urethrotomy versus endoscopic urethrotomy plus transurethral resection of the fibrous callus (Guillemin's technique) in the treatment of urethral stricture post urethral striture - urethrotomy by dan120748, 1 minute ago I just went through the urethrotomy and was told it would take care of my inability to fully empty my blader - after returning to the hospital today they told me I would have to use a daily catheter - will this be for ever or just during the healing process -- no one seemed to be able to give me an answer

DVIU known as direct vision internal urethrotomy is a surgical procedure using a camera and endoscopic instrument to cut a urethral stricture and fix the abnormal narrowing of the urethra. DVIU is an inexpensive, outpatient procedure with few complications and high success rates for short strictures. Done as a treatment for male urethral stricture disease, internal urethrotomy (IU) has. This is an update of Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men. Cochrane Database Syst Rev. 2010 Apr 14;(4):CD006934. This is an update of Cochrane Database Syst Rev. 2010;(4):CD006934 Optical internal urethrotomy - Endoscopic urethrotomy. Description optical internal urethrotomy. Optical internal urethrotomy (THIS) It represents an operation to restore the narrowed portion of the urethra (urethra). Urethra channel - a tube body, through which urine from the bladder is beyond body PDF | Background: Bulbar urethral stricture is a common cause for urinary symptoms in men and its two main treatment options both have drawbacks with... | Find, read and cite all the research you. Endoscopic Internal Urethrotomy. Show/Hide Options.

Urethral stricture - Care at Mayo Clinic - Mayo Clini

  1. Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men. Lookup NU author(s): Dr Susan Wong, Rob Pickard. Downloads. Full text for this publication is not currently held within this repository. Alternative links are provided below where available
  2. To evaluate the effectiveness and safety of direct vision internal urethrotomy (DVIU) by using endoscopic scissors for incision of short (<1 cm) urethral strictures in adult men. Twenty-one patients who had short bulbar urethral strictures were evaluated in this study. Endoscopic scissors was used for incision of urethral strictures in all patients
  3. imally invasive technique whereby the narrowed area is progressively widened by cutting the scar tissue with a steel blade mounted on a urethroscope. Urethroplasty is a more invasive surgery to reconstruct the narrowed area
  4. e the long-term outcome of endoscopic urethrotomy for primary urethral strictures based on a population-based approach. Patients and Methods. We analysed a nationwide database of all patients with urethral stricture disease who underwent endoscopic urethrotomy as a primary intervention between January 2006 and December 2007
  5. The objective was to prove the advantage of endoscopic laser-urethroplasty over internal urethrotomy in acquired urethral strictures. Patients and Method: From January, 1996 to June, 2005, 35 patients with a mean age of 66 years were submitted to endoscopic laser-urethroplasty for strictures of either the bulbar (30) or membranous (5) urethra
  6. endoscopic urethrotomy, or by the use of graduated urethral dilators. An estimated half of the men will suffer a recurrence within 4yr requiring further intervention [3]. This can be done by an endoscopic technique or by more invasive surgery to reconstruct the narrowed area: open urethroplasty [4]. Hospital activity data suggest that repeated.

Endoscopic Management of Urethral Stricture Disease and

The knife is the most common used instrument for endoscopic urethrotomy. Unfortunately, there are high recurrence rates; it is thought that a laser reduces those rates. We compared the two techniques in this retrospective study. Between 2010 and 2014, 127 patients were operated on with the knife (KG) and for 65 patients, the laser (LG) was used Opinion: Endoscopic Urethrotomy André G. Cavalcanti 1, 2 , Gustavo Fiedler 3 1 Universidade Federal do Rio de Janeiro, RJ, Brasil; 2 Hospital Federal Cardoso Fontes, Rio de Janeiro Evidence of relative clinical effectiveness and cost-effectiveness is lacking.ObjectivesTo assess benefit, harms and cost-effectiveness of open urethroplasty compared with endoscopic urethrotomy as treatment for recurrent urethral stricture in men.DesignParallel-group, open-label, patient-randomised trial of allocated intervention with 6. Background: To evaluate the effects of hyaluronic acid (HA) and carboxymethylcellulose (CMC) on the recurrence of urethral stricture after treatment with endoscopic internal urethrotomy (EIU). Methods: A total of 120 patients underwent EIU for urethral stricture. Recruited patients were randomly divided into two groups: group A and B. Patients in group A (60 patients, experimental group. Nonetheless, over the past two decades, there has been a sizable reduction in endoscopic procedures and corresponding increase in urethroplasty in Australia. 4 Specifically, from 1994 to 2016, the number of urethral dilation procedures performed across Australia decreased by 75%, and the number of urethrotomy or urethrostomy procedures.

Redefining the male urethral stricture treatment paradigm

Urethrotomes, Urethrotomy, Urology Endoscopy Superstor

Re : Surgical Treatment for Recurrent Bulbar Urethral Stricture: A Randomised Open-label Superiority Trial of Open Urethroplasty Versus Endoscopic Urethrotomy (the OPEN Trial). / Elliott, Sean P. In: European Urology, Vol. 79, No. 4, 04.2021, p. 552. Research output: Contribution to journal › Comment/debate › peer-revie endoscopic urethrotomy have provided temporary relief. However, in only the past 20 years, urethroplasty has emerged as a curative treatment. Objective The aims of this article are to review the aetiology and clinical manifestations of urethral strictures, evaluate the traditional but temporising treatments for urethra THE PLACE OF ENDOSCOPIC URETHROTOMY IN THE MANAGEMENT OF URETHRAL STRICTURE Pages with reference to book, From 99 To 102 J.P. Mitchell (Dept. of Surgery, Bristol Royal Infirmary, Bristol BS2 8HW, U.K. ) Stricture of the urethra is probably one of the oldest problems for which man has attempted to find Later, the patients were admitted for an endoscopic urethrotomy and implantation of cultured buccal cells embedded in scaffold. About the TGP scaffold. The TGP used in the present study is a co‐polymer composed of thermoresponsive polymer blocks (poly [N‐isopropyl acrylamide‐co‐n‐butyl methacrylate] poly.

Laser Urethrotomy May Be Helpful for Obliterative Urethral Strictures. Aug. 19, 2004 — The holmium laser core-through urethrotomy (HolCTU) is a safe and simple treatment for traumatic. endoscopic urethrotomy? Opinion: Substitution Urethroplasty Richard A. Santucci 1,2,3 1 Urology, Detroit Medical Center, Detroit, urethrotomy doesn't work very well and anastomotic urethroplasty works well except it has too many complications. Even in the hands of experts (6) Comment on Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men. Please check that your comment is : Concise and relevant to the article being commented on; Supported by references if necessary; Not libellous, defamatory or in breach of confidentiality or copyright Endoscopic urethrotomy was introduced 37 years ago by Sachse, who used the cold knife technique . Success rates are unsatisfactory owing to scar tissue, and recurrence rates between 35% and 60% have been reported . In our study including 50 male patients with urethral stricture disease, the success rate was 76%, being 95.8% for strictures less.

Endoscopic methods include either transurethral resection or incision of the cyst with an endoscopic urethrotomy knife. In the present case, an endoscopic intervention was chosen for the presence of frequent urinary tract infections, painful ejaculation resistant to medical treatment, and prostatitis syndrome-like symptoms Robert Pickard 1, †, Beatriz Goulao 2, Sonya Carnell 3, Jing Shen 4, Graeme MacLennan 5, John Norrie 6, Matt Breckons 4, Luke Vale 4, *, Paul Whybrow 7, Tim Rapley 8, Rebecca Forbes 3, Stephanie Currer 3, Mark Forrest 5, Jennifer Wilkinson 3, Elaine McColl 4, Daniela Andrich 9, Stewart Barclay 10, Jonathan Cook 11, Anthony Mundy 9, James N'Dow 12, Stephen Payne 13, Nick Watkin 1 The reported success rates for endoscopic urethrotomy widely range from 32% to 73.1% with an understudied long-term success rate 2, 6, 7. The relative easiness of the procedure and direct initial effect after procedure in all patients could explain the misuse of urethrotomy in patients, in whom recurrence after treatment is an obvious reality Endoscopic Treatment. Overall, seven studies reported on outcomes after endoscopic treatment (urethrotomy or dilation) (4-10) and four studies reported on comparative outcomes following endoscopic treatment vs. urethroplasty (22-25) (Tables 2, 3) Autologous buccal epithelial cells from a small buccal mucosal biopsy were isolated, cultured and encapsulated in thermoreversible gelation polymer scaffold, and were implanted at the stricture site after a wide endoscopic urethrotomy. Results. All the patients voided well, with a mean peak flow rate of 24 mL/s

T1 - 399 - Surgical treatment for recurrent bulbar urethral stricture: A randomised open label superiority trial of open urethroplasty versus endoscopic urethrotomy (The OPEN Trial) T2 - Abstracts EAU19 - 34th Annual EAU Congress. AU - Goulao, B. AU - Carnell, S. AU - Shen, J. AU - MacLennan, G. AU - Norrie, J. AU - Cook, J. AU - McColl, E Endoscopic Urethrotomy Plus Transurethral Resection of the Fibrous Callus in the Treatment of Posterior Urethral Stricture 腔 内 冷 刀 切开 及 瘢痕 电 切 治疗 后 尿道 狭窄 www.ilib.c Choi SH, et al. Korean J Urol. 2009 Mar;50(3):246-250. https://doi.org/10.4111/kju.2009.50.3.24 Description of Procedure. A small specialized scope is passed into the urethra and the scar or stricture is visualized. A tiny blade on the end of the scope is used to incise the scarred portion of urethra Endoscopy | Urethrotomy. Back to Procedures ; Surgical Booking Process. General Pre-operative Instructions. General Instructions: Catheters, Incision care. Description. What to expect. Cautions. Diet. Activity. Medications. Description of Procedure. A small specialized scope is passed into the urethra and the scar or stricture is visualized. A.

Endoscopic Female Urethrotomy Under Local Anesthesia - YouTube

Surgery for Urethral Stricture NYU Langone Healt

DVIU/Dilation: Postop Instructions DEFINITIONS: - Cysto (cystoscopy): camera and lens that goes thru urethra and into bladder to look for urethral abnormalities/bladder masses/lesions/stones - DVIU: direct visual internal urethrotomy - Urethrotomy: incision thru the urethra with knife that goes thru a special cystoscope - Dilation: a wire is placed across the urethral stricture and stron Endoscopic Incision of Ureterocoele 52300 Ureterolysis 50715 Ureterostomy 50860 Ureteral Plication Ileal Ureter 50840 Retroperitoneal Lymph Node Dissection - Transabdominal 38780 Retroperitoneal Mass Excision 49203-49205 Adrenalectomy - Open 60540 . Revised 06-29-10; revised 11/22/10 (jms).

Urethral Stricture Treatment, Symptoms & Surgery Recover

Cystoscopy; Urethrography; Treatment Dilation and other endoscopic approaches. Urethral dilation and other endoscopic approaches such as direct vision internal urethrotomy (DVIU), laser urethrotomy, and self intermittent dilation are the most commonly used treatments for urethral stricture.However, these approaches are associated with low success rates and may worsen the stricture, making. A urethrotomy is an operation to treat a narrowing of the urethra (tube that carries urine from the bladder to the penis). The narrowing is usually caused by scar tissue forming after inflammation, an infection or injury. This can cause a slow flow of urine, often with dribbling, pain, bleeding and infection What does the endoscopic urethrotomy consist of? It consists of the introduction through the urethra of an instrument, the urethrotome, which makes a cut in the urethral stricture or the fibrosis ring. A knife can be used (cold urethrotomy) or we can use the diode laser (laser urethrotomy). In this surgery, moderate blood loss occurs Open urethroplasty versus endoscopic urethrotomy -clarifying the management of men with recurrent urethral stricture (the OPEN trial): Study protocol for a randomised controlled tria

Shen , J , Vale , L , Goulao , B , Whybrow , P , Payne , S & Watkin , N 2021 , ' Endoscopic Urethrotomy Vs Open Urethroplasty for Men With Bulbar Urethral Stricture. Resection of right ureter, percutaneous endoscopic approach : 0TT70ZZ . Resection of left ureter, open approach : 0TT74ZZ . Resection of left ureter, percutaneous endoscopic approach : Radical nephrectomy Radical nephrectomy involves complete removal of the kidney, typically with extensive lymphadenectomy and/or removal of the adrenal gland Urethrotomy/Urethral Dilatation These are both endoscopic and minimally-invasive techniques that can be used to open up the urethra when there is a stricture or scar tissue. A urethrotomy (sometimes called a optical or internal urethrotomy) is performed by passing a camera (cystoscope) down the urethra and cutting into the scar tissue with a. Aug. 7, 2002 -- Routine direct vision internal urethrotomy (DVIU) is better than treating only on recurrence for urethral strictures, according to the results of a prospective, randomized trial.

Urethrotomy / Urethroplasty - Chin Chong Min Urology

As such, it would be difficult to justify the added expense of laser urethrotomy. Endoscopic placement of free skin grafts into the bed of the urethra after transurethral resection or deep incision of the stricture is a novel approach that has shown a great deal of promise. Endourethroplasty is a reasonable alternative to open urethroplasty. 5. Surgeons may utilize urethral endoscopic management (e.g. urethral dilation or direct visual internal urethrotomy [DVIU]) or immediate suprapubic Approved by the AUA Board of Directors April 2016 Authors' disclosure of po-tential conflicts of interest and author/staff contribu-tions appear at the end of the article

Urethrotomy - Wikipedi

[Endoscopic management of urethral stricture]

Factors Influencing Recurrence of Urethral Strictures after Endoscopic Urethrotomy: the Role of Infection and Peri-operative Antibiotics. J. A. Pain FRCS, Corresponding Author. Surgical Registrar. Department of Surgery, Ipswich Hospital, Ipswich knife endoscopic visual internal urethrotomy was first used by Sachse in 1971, and it is the most commonly used surgical treatment for a urethral stricture less than 2 cm in the posterior urethra. It has gained popularity for being safe, effective with an excellent outcome. VIU is a simpl

The penile urethra was the site of stricture in 12 endoscopic visual internal urethrotomy and open urethral patients (38.7%). Strictures were identified in the membra- reconstruction. Stricture dilation is often pursued as initial nous urethra in 4 patients (12.9%). A total of 25 patients treatment, with some reported success.7 However, long. Open urethroplasty versus endoscopic urethrotomy for recurrent urethral stricture in men: the OPEN RCT Robert Pickard,1† Beatriz Goulao,2 Sonya Carnell,3 Jing Shen,4 Graeme MacLennan,5 John Norrie,6 Matt Breckons,4 Luke Vale,4* Paul Whybrow,7 Tim Rapley,8 Rebecca Forbes,3 Stephanie Currer,3 Mark Forrest,5 Jennifer Wilkinson,3 Elaine McColl,4 Daniela Andrich,9 Stewart Barclay,10 Jonathan Cook,1

Repeat endoscopic urethrotomy opens the narrowing but it usually scars up again within 2 years requiring repeated procedures. The alternative of open urethroplasty involves surgically reconstructing the urethra, which may need an oral mucosal graft. It is a specialist procedure with a longer recovery period but may give lower risk of recurrence Initial treatment is typically by endoscopic urethrotomy but recurrence occurs in about 60 % of men within 2 years. The best treatment for men with recurrent bulbar stricture is uncertain. Repeat endoscopic urethrotomy opens the narrowing but it usually scars up again within 2 years requiring repeated procedures Gibod BL, and Le Portz B: Endoscopic urethrotomy: urethral stricture, as was evident in our patients. does it live up to its promises? J Urol 127: 433- 435, 1982. Thus, a final chance for a less invasive treatment 11. Harriss DR, Beckingham IJ, Lemberger RJ, et al: Long- alternative, such as the dilation protocol proposed term results of.

Internal urethrotomy involves incising the stricture transurethrally using endoscopic equipment. The incision allows for release of scar tissue. Success depends on the epithelialization process finishing before wound contraction significantly reduces the urethral lumen caliber Introduction: Direct visual internal urethrotomy (DVIU) followed by intermittent self-dilatation (ISD) is the most commonly performed intervention for urethral stricture disease.The objective of this paper is to outline the current scientific evidence supporting this approach for its use in the management of anterior urethral strictures Internal Urethrotomy With Intralesional Mitomycin C: An Effective Option for Endoscopic Management of Recurrent Bulbar and Bulbomembranous Urethral Strictures Urology 2017 Dec 01;110(xx)223-227, MR Farrell, CW Lawrenz, LA Levine From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine The optimal indications for dilatation or internal urethrotomy are simple bulbar strictures shorter than 2cm without spongiofibrosis or history of previous treatment. Recurrent urethral strictures after repeated interventions are usually more complex and can render the definite open urethral surgery more difficult

ICS 2019 Abstract #499 Endoscopic surgery of urethral

Internal Urethrotomy With Intralesional Mitomycin C: An Effective Option for Endoscopic Management of Recurrent Bulbar and Bulbomembranous Urethral Strictures. Urology 2017; 110:223. Kurt O, Gevher F, Yazici CM, et al. Effect of Mitomycin - C and Triamcinolone on Preventing Urethral Strictures Urinary tract procedures to include vulvar fold correction, feline and canine urethrostomies, urethrotomy, urinary bladder and prostate procedures ( usually endoscopically assisted ) . Upper airway disease conditions ( brachycephalic syndrome evaluation and surgical improvement) coupled with upper respiratory endoscopic diagnosis

Open urethroplasty versus endoscopic urethrotomy for

Medical endoscopic instruments urology urethrotomy device . US $300.00-$1000 / Set 1 Set (Min. Order) 8 YRS . Tonglu BA Medical Devices Co., Ltd. (19) 99.2% Customer service (6) Good supplier. Optical Internal Urethrotomy uses an endoscopic device, which is called urethrotome. With this and with a sharp knife the incision is done in the urethra. This operation is done in men and the success rate is below 10%. Still, for urethral strictures this is a popular treatment. The process removes the unwanted tissues Male urethral stricture is a common condition in urological practice. The traditional therapeutic methods, including urethral dilatation and cold knife urethrotomy. The one that is most appealing to urologists and patients is direct VIU, as it is a minimally invasive endoscopic procedure We recently performed endoscopic urethrotomy successfully for the treatment of urethral strictures caused by inflammatory polyp and gonococcal urethritis in a 6-year-old and 12-year-old boy, respectively, and urethral complete interruption after pelvis injury in a 14-year-old boy Laser urethrotomy Since the endoscopic laser urethrotomywas first reported by Bullowetalin1977[39],severaldifferenttypesoflaser have been used for incision, resection, or vaporisation of urethral strictures: neodymium-doped yttrium alumini-um garnet (YAG), argon, diode, holmium:YAG, and potassium titanyl phosphate [8]. The main assumption wa