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PlasmaKinetic versus Cold Knife Internal Urethrotomy in Terms of Recurrence Rates A Prospective Randomized Study       
Yazarlar
Cecen Kursat
Türkiye
Mert Ali Karadağ
Kafkas Üniversitesi, Türkiye
Aslan Demir
Kafkas Üniversitesi, Türkiye
Prof. Dr. Ramazan KOCAASLAN Prof. Dr. Ramazan KOCAASLAN
Kafkas Üniversitesi, Türkiye
Özet
To evaluate the efficacy and outcomes of PlasmaKinetic™ urethrotomy against cold knife direct vision internal urethrotomy in terms of recurrence rates. A total of 136 male patients with urethral strictures were enrolled into the study. The patients were allocated to cold knife or PlasmaKinetic urethrotomy groups sequentially by using computer-generated numbers. Group A (PlasmaKinetic) and group B (cold knife) included 70 and 66 patients, respectively. All patients were reevaluated at the 3rd, 9th and 18th month postoperatively with uroflowmetry. Group A patients had a postoperative 3rd-month maximum flow rate value of 16.09 ml/s, whereas this same parameter was 15.15 ml/s in group B (p < 0.05). The urethral stricture recurrence rate up to the 9-month period was statistically significant for group A (14%) compared with group B (30%). When we compared the recurrence rates of these groups from postoperative day 1 up to the 18th month, the results were 37% for group A and 33% for group B (p > 0.05). PlasmaKinetic urethrotomy provides a better recurrence-free rate during the early period compared with conventional cold knife therapy. Nevertheless, the outcome of the stricture did not change and fibrotic tissue reformed between the 9th and the 18th month.
Anahtar Kelimeler
Urethral stricture | PlasmaKinetic (TM) urethrotomy | Urethra
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı UROLOGIA INTERNATIONALIS
Dergi ISSN 0042-1138
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 12-2014
Cilt No 93
Sayı 4
Sayfalar 460 / 463
Doi Numarası 10.1159/000363249
Makale Linki http://www.karger.com?doi=10.1159/000363249