Journal of Genital System & DisordersISSN: 2325-9728

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Short Communication, J Genit Syst Disor Vol: 5 Issue: 2

Urethral Stricture after Transurethral Resection of Prostate: Role of Maintaining the Temperature of the Urethra with Warm Irrigation Solution

Shin YS and Park JK*
Department of Urology, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University, Jeonju, 561-712, South Korea
Corresponding author : Jong Kwan Park, M.D., Ph.D
Department of Urology, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University, Jeonju, 561-712, Republic of Korea
Tel: + 82 (0) 63 250 1510
Fax: + 82 (0) 63 250 1564
E-mail: [email protected]
Received: February 03, 2016 Accepted: April 05, 2016 Published: April 12, 2016
Citation: Shin YS, Park JK (2016) Urethral Stricture after Transurethral Resection of Prostate: Role of Maintaining the Temperature of the Urethra with Warm Irrigation Solution. J Genit Syst Disor 5:2. doi:10.4172/2325-9728.1000152

Abstract

With popularization of transurethral resection of the prostate (TURP), currently, iatrogenic reason is the leading etiology of urethral stricture. Urethral stricture often occurs after TURP, and the triggering factors reported include infection, mechanical injury, and indwelling of the Foley catheter. However, the exact etiology of urethral stricture is still controversial. In our opinion, the temperature in the urethra could be another important factor in stricture formation after TURP. When the body temperature decreases by 1-2°C below the normal temperature, the blood vessels constrict, lessening heat loss to the outside environment. The constriction of blood vessels in the urethra during TURP can also induce ischemic injury in the urethra, resulting in urethral stricture. Warm irrigation and a system to maintain the penis at isothermia during TURP might decrease the incidence of urethral stricture and morbidity. The results of our previous study, entitled “Is warm temperature necessary to prevent urethral stricture in combined transurethral resection and vaporization of prostate?” have shown that maintaining the temperature of the urethra with warm irrigation solution during combined transurethral resection and vaporization of the prostate probably decreases the incidence of urethral stricture. We recommended warm irrigation and a system to maintain the penis at isothermia during TURP to prevent ureteral stricture.

Keywords: Urethral structure; Transurethral resection; Prostate; Warm irrigation solution; TURP

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