Urethral stricture: Urethrotomy vs. definitive repair
In the treatment of urethral stricture disease, overall stricture length dictates the surgical technique to use. Thus, a well-performed retrograde urethrogram to demonstrate the distal aspect and a voiding cystourethrogram to demonstrate the proximal part of the stricture are essential to formulate a surgical plan. Cystoscopy and transperineal urethral ultrasound can further complement the investigations.
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Sandip Prasad, MD, discusses patient selection for chemoablation in recurrent LG-IR-NMIBC and considerations when counseling patients about a nonsurgical approach.
In a head-to-head RCT, Rezūm produced a 4.6-point greater IPSS improvement than combination pharmacotherapy at 1 year, according to Jean-Nicolas Cornu, MD, PhD, FEBU.
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