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https://doi.org/10.18502/wkmj.v66i1.15680

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authors

  • Aluadin Nurberdiev

    Aluadin Nurberdiev

    Department of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan
  • Alexey Suchshenko

    Alexey Suchshenko

    Department of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan
  • Almas Muralovich Kazhitaev

    Almas Muralovich Kazhitaev

    Department of Urology, State-Owned Public Enterprise with The Rights of Economic Management “Multidisciplinary Regional Hospital No. 2”, Astana, Kazakhstan
  • Ulanbek Zhanbyrbekuly

    Ulanbek Zhanbyrbekuly

    Department of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan
  • Gafur Khairli

    Gafur Khairli

    Department of Urology and Andrology of NсJSC Astana Medical University, Astana, Kazakhstan

Published Date

  • Mar 14, 2024

Long-term Results of Optical Laser Urethrotomy for Post-traumatic Stricture of the Membranous Urethra

West Kazakhstan Medical Journal / Volume 66 Issue 1 / Pages 78–83

Abstract

Urethral stricture is a common condition characterized by the narrowing of the urethra, leading to difficulty in urination. This article presents a case report of a 47-yearold male with urethral stricture following a pelvic fracture. The patient presented with urinary retention and a history of traumatic injury. Diagnostic imaging revealed a 2.0-2.2 cm stricture in the membranous urethra. Surgical intervention, including optical laser urethrotomy and silicone urethral catheter placement, was performed successfully. Postoperative management included antibacterial and anti-inflammatory therapy, leading to the restoration of independent urination. Urodynamic examination confirmed the successful outcome of the surgery. This case demonstrates that endoscopic surgery for urethral strictures can have a favorable prognosis. However, due to the potential for recurrence, ongoing outpatient care and monitoring by a urologist are essential for these patients.

Keywords:

urethral stricture, pelvic fractures, urethrotomy, urethral catheterization, urologic surgical procedures

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