| Abstrakt: |
Objective: In this study, the efficacy, complication rates, and treatment results of cold knife and holmium:yttrium aluminum garnet (Ho:YAG) laser for treating urethral stricture was compared. Materials and Methods: A total of 364 cases were operated with the diagnosis of urethral stricture between 2010 and 2020. Of these patients, 176 were operated using a cold knife and 188 using a Ho:YAG laser. Preoperatively and postoperatively, uroflowmetry, post-voiding residue (PVR), International Prostate Symptom Score (IPSS), and IPSS/quality of life (IPSS/QoL) values were determined in all patients. Additionally, complication rates, operation times, and stricture recurrence rates were determined. Results: The length of the stricture in all cases was less than 3 cm. The maximum flow rate (Qmax), average flow rate (Qave), PVR, IPSS and IPSS/QoL values of the patients were determined as 8.16/6.45 mL/s, 4.36/4.62 mL/s, 124.50/135.65 mL, 20.33/23.55, 5.25/5.40 in the preoperative period in group 1 and group 2, respectively. In the postoperative 12th months, it was determined as 25.43/27.48 mL/s, 21.32/23.08 mL/s, 25.50/19.04 mL, 7.08/6.06, and 1.36/1.23. Stricture recurrence rates were 29.54% (n=52) and 10.63% (n=20) in groups 1 and 2, respectively. Conclusion: Long-term recurrence rates are lower with the use of Ho:YAG laser in urethral strictures compared to cold knife. [ABSTRACT FROM AUTHOR] |
