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Surgery General 83ad01f1

The recent treatment of short bridle passable stricture of urethra in the penile and bulbous urethra is-

A
Internal urethrotomy with Thompson-Walker's urethrotome
B
Optical internal urethrotomy
C
Syme's operation
D
Wheelhouse operation
High-Yield Explanation
Campbell says “The data show that strictures at the bulbous urethra that are < 1.5 cm in length and not associated with dense, deep spongiofibrosis (i.e. straddle injuries) can be managed with internal urethrotomy, with a 74% moderately long-term success rate.” • Internal urethrotomy refers to any procedure that opens the stricture by incising it transurethrally . • Internal urethrotomy is done for short, soft, passable, bulbar stricture. • The urethrotomy procedure involves incision through the scar to healthy tissue to allow the scar to expand (release of scar contracture) and the lumen to heal enlarged. • MC complication of internal urethrotomy is recurrence of stricture. • The data show that strictures at the bulbous urethra that are < 1.5 cm in length and not associated with dense, deep spongiofibrosis (i.e. straddle injuries) can be managed with internal urethrotomy, with a 74% moderately long-term success rate .

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