Treatment of pediatric urethral stricture disease with the neodymium:yttrium-aluminum-garnet laser.

Journal Article (Journal Article)

OBJECTIVES: The aim of this study was to assess the efficacy and safety of the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser in the treatment of pediatric urethral stricture disease. METHODS: Twelve boys who had previously undergone unsuccessful cold-knife internal urethrotomy or serial urethral dilation for urethral stricture disease underwent endoscopic laser internal urethrotomy utilizing a contact-tip fiber for recurrent urethral stricture. RESULTS: At a mean follow-up of 12 months, 10 of the 12 boys are free of stricture disease for an overall success rate of 83%. Two boys were considered failures and underwent successful open urethroplasty. There were no treatment complications. CONCLUSIONS: The Nd:YAG laser utilizing the contact-tip fiber was successful in treating recurrent urethral stricture disease. The hemostatic characteristic of the laser allowed bloodless urethrotomy, which was particularly useful when operating with the smaller pediatric endoscopic instruments.

Full Text

Duke Authors

Cited Authors

  • Faerber, GJ; Park, JM; Bloom, DA

Published Date

  • August 1994

Published In

Volume / Issue

  • 44 / 2

Start / End Page

  • 264 - 267

PubMed ID

  • 8048204

International Standard Serial Number (ISSN)

  • 0090-4295

Digital Object Identifier (DOI)

  • 10.1016/s0090-4295(94)80146-0


  • eng

Conference Location

  • United States