Optic Urethrotomy

Why is it done?

• To treat a narrowing in the urethra which has formed due to previous damage/injury to the urethra.
• Causes:
  • After bypass surgery where a drop in blood pressure has caused an area of low blood supply to the urethra;
  • Trauma to the urethra (pelvic fractures/ urethral instrumentation);
  • Sexually transmitted diseases.
• The procedure entails cutting the stricture with a cold knife.

How is it done?

• A urethroscopy is performed by placing a camera in the urethra, with the help of a lubricant jelly and an irrigate fluid, to identify the stricture.
• A cold knife is then used to cut the stricture open.
• The inside of the bladder is viewed for pathology.
• If any suspicious lesions are seen, a biopsy will be taken.
• Prophylactic antibiotics may be given to prevent infection.
• Indwelling catheter placed.

Complications

Side–effects

• Patients will spend the night in the hospital.
• Patients will be sent home with a catheter for 3 days after receiving thorough catheter care Instructions.
• Arrangements will be made to remove the catheter on day 3.
• There may be some blood in the urine. This can be remedied by drinking plenty of fluids until it clears.
• Review at 6 weeks.
• There is a >50% risk of recurrence and may need further treatment
  • Re-dilatation
  • Self-dilatation
  • Urethraplasty

Download Information Sheet

Wes Optic Urethrotomy

Copyright 2019 Dr Jo Schoeman