{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T14:58:13Z","timestamp":1778597893183,"version":"3.51.4"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007102","name":"Zagazig University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007102","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>To report the safety and efficacy of holmium laser and compare its results with cold knife visual internal urethrotomy (VIU) in the management of short segment urethral stricture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This prospective randomized study included 66 male patients aged more than 18\u00a0years, with short segment bulbar urethral strictures\u2009&lt;\u20092\u00a0cm from March 2020 to March 2022. The patients were randomized into two groups each containing 33 patients. In group A (Cold knife group), Sachse cold knife was used for stricture treatment. In group B (Holmium group), internal urethrotomy was done with Ho:YAG laser. Patients were evaluated before the operation and followed up after the operation at 1, 3, 6 and 12\u00a0months by physical examination, IPSS, PVR, Qmax and retrograde urethrography.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There was significant improvement in the mean values of IPSS, PVR and Qmax in both groups. There was no significant difference between both groups in the mean values of IPSS, PVR and Qmax during follow-up visits. However, at the end of follow-up at one year there was statistically significant difference between both groups in the mean values of IPSS, PVR and Qmax due to higher recurrence rate in cold knife group than laser group. The overall complication rate is significantly lower in laser group (<jats:italic>p<\/jats:italic>\u2009=\u20090.014).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Holmium laser VIU is an effective and safe treatment option for short segment urethral stricture with shorter operative time, less complication rate and less recurrence than cold knife VIU.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00345-023-04434-8","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T10:03:15Z","timestamp":1685527395000},"page":"1897-1904","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Holmium laser versus cold knife visual internal urethrotomy for management of short segment urethral stricture: a prospective randomized clinical trial"],"prefix":"10.1007","volume":"41","author":[{"given":"Maged M.","family":"Ali","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Kamel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Ragab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulbasit","family":"Abd Alraheem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Sakr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"4434_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.4103\/0970-1591.30253","volume":"23","author":"S Das","year":"2007","unstructured":"Das S (2007) Urology in ancient India. Indian J Urol 23:2\u20135","journal-title":"Indian J Urol"},{"key":"4434_CR2","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1111\/j.1464-410X.2004.05088.x","volume":"94","author":"AC Peterson","year":"2004","unstructured":"Peterson AC, Webster GD (2004) Management of urethral stricture disease: developing options for surgical intervention. BJU Int 94:971\u2013976","journal-title":"BJU Int"},{"key":"4434_CR3","first-page":"132","volume":"8","author":"K TavakkoliTabassi","year":"2011","unstructured":"TavakkoliTabassi K, Yarmohamadi A, Mohammadi S (2011) Triamcinolone injection following internal urethrotomy for treatment of urethral stricture. J Urol 8:132\u2013136","journal-title":"J Urol"},{"key":"4434_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1159\/000319501","volume":"86","author":"O Singh","year":"2011","unstructured":"Singh O, Gupta SS, Arvind NK (2011) Anterior urethral strictures: a brief review of the current surgical treatment. Urol Int 86:1\u201310","journal-title":"Urol Int"},{"key":"4434_CR5","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1159\/000478026","volume":"99","author":"L Torres Castellanos","year":"2017","unstructured":"Torres Castellanos L, Moreno Bencardino MC, Bravo-Balado A et al (2017) Evaluation of the efficacy and safety of laser versus cold knife urethrotomy in the management of patients with urethral strictures: a systematic review and meta-analysis of randomized clinical trials. Urol Int 99:453\u2013459","journal-title":"Urol Int"},{"key":"4434_CR6","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1111\/j.1464-410X.2011.10139.x","volume":"107","author":"JB Myers","year":"2011","unstructured":"Myers JB, McAninch JW (2011) Perineal urethrostomy. BJU Int 107:856\u2013865","journal-title":"BJU Int"},{"key":"4434_CR7","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.urology.2012.09.020","volume":"81","author":"B Ghosh","year":"2013","unstructured":"Ghosh B, Dorairajan LN, Kumar S et al (2013) Randomized clinical trial comparing effectiveness of intra-corpus-spongiosum block versus topical anesthesia for performing visual internal urethrotomy for urethral stricture disease. J Urol 81:204\u2013207","journal-title":"J Urol"},{"key":"4434_CR8","doi-asserted-by":"publisher","first-page":"392","DOI":"10.4103\/0970-1591.85445","volume":"27","author":"D Dubey","year":"2011","unstructured":"Dubey D (2011) The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures. Ind J Urol 27:392\u2013396","journal-title":"Ind J Urol"},{"key":"4434_CR9","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1097\/00000441-187901000-00027","volume":"153","author":"FN Otis","year":"1878","unstructured":"Otis FN (1878) Stricture of the Male urethra and its Radical Cure. Am J Med Sci 153:198\u2013200","journal-title":"Am J Med Sci"},{"key":"4434_CR10","first-page":"229","volume":"24","author":"G Ravasini","year":"1957","unstructured":"Ravasini G (1957) The controlled urethroscopic electrotome for the treatment of urethral stricture. Urologia 24:229\u2013232","journal-title":"Urologia"},{"key":"4434_CR11","first-page":"12","volume":"92","author":"H Von Sachse","year":"1974","unstructured":"Von Sachse H (1974) Treatment of urethral stricture. Transurethral slit in view using sharp section. Fortschr Med 92:12\u201315","journal-title":"Fortschr Med"},{"key":"4434_CR12","doi-asserted-by":"crossref","first-page":"82","DOI":"10.7196\/sajs.1095","volume":"50","author":"CF Heyns","year":"2012","unstructured":"Heyns CF, van der Merwe J, Basson J et al (2012) Treatment of male urethral strictures-possible reasons for the use of repeated dilatation or internal urethrotomy rather than urethroplasty. S Afr J Surg 50:82\u201387","journal-title":"S Afr J Surg"},{"key":"4434_CR13","first-page":"153","volume":"69","author":"DV Saavedra-Briones","year":"2009","unstructured":"Saavedra-Briones DV, Merayo-Chalico CE, Sanchez-Turati G et al (2009) Urethral stricture recurrence following internal urethrotomy. Rev Mex Urol 69:153\u2013158","journal-title":"Rev Mex Urol"},{"key":"4434_CR14","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1089\/pho.2009.2516","volume":"28","author":"Z Jab\u0142onowski","year":"2010","unstructured":"Jab\u0142onowski Z, Kedzierski R, Mieko\u015b E et al (2010) Comparison of neodymium-doped yttrium aluminum garnet laser treatment with cold knife endoscopic incision of urethral strictures in male patients. Photomed Laser Surg 28:239\u2013244","journal-title":"Photomed Laser Surg"},{"key":"4434_CR15","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1016\/j.eururo.2012.01.010","volume":"61","author":"TR Herrmann","year":"2012","unstructured":"Herrmann TR, Liatsikos EN, Nagele U et al (2012) EAU guidelines panel on lasers, technologies. EAU guidelines on laser technologies. Eur Urol 61:783\u2013795","journal-title":"Eur Urol"},{"key":"4434_CR16","doi-asserted-by":"publisher","first-page":"1859","DOI":"10.1016\/j.juro.2010.01.020","volume":"183","author":"R Santucci","year":"2010","unstructured":"Santucci R, Eisenberg L (2010) Urethrotomy has a much lower success rate than previously reported. J Urol 183:1859\u20131862","journal-title":"J Urol"},{"key":"4434_CR17","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1089\/end.2006.20.38","volume":"20","author":"S Kamp","year":"2006","unstructured":"Kamp S, Knoll T, Osman MM et al (2006) Low-power holmium:YAG laser urethrotomy for treatment of urethral strictures: functional outcome and quality of life. J Endourol 20:38\u201341","journal-title":"J Endourol"},{"key":"4434_CR18","doi-asserted-by":"publisher","first-page":"295","DOI":"10.4081\/aiua.2015.4.295","volume":"87","author":"ME Y\u0131ld\u0131r\u0131m","year":"2015","unstructured":"Y\u0131ld\u0131r\u0131m ME, Kaynar M, Ozyuvali E et al (2015) The effectiveness of local steroid injection after internal urethrotomy to avoid recurrence. Arch Ital Urol Androl 87:295\u2013298","journal-title":"Arch Ital Urol Androl"},{"key":"4434_CR19","doi-asserted-by":"crossref","first-page":"462","DOI":"10.5173\/ceju.2015.584","volume":"68","author":"S Kumar","year":"2015","unstructured":"Kumar S, Kishore L, Sharma AP et al (2015) Efficacy of holmium laser urethrotomy and intralesional injection of Santosh PGI tetra-inject (triamcinolone, mitomycin c, hyaluronidase and n acetyl cysteine) on the outcome of urethral strictures. Cent Eur J Urol 68:462\u2013465","journal-title":"Cent Eur J Urol"},{"key":"4434_CR20","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1007\/s11255-018-1809-x","volume":"50","author":"W Aboulela","year":"2018","unstructured":"Aboulela W, ElSheemy MS, Shoukry M et al (2018) Visual internal urethrotomy for management of urethral strictures in boys: a comparison of short-term outcome of holmium laser versus cold knife. Int Urol Nephrol 50:605\u2013609","journal-title":"Int Urol Nephrol"},{"key":"4434_CR21","doi-asserted-by":"publisher","first-page":"1494","DOI":"10.1016\/j.urology.2015.02.050","volume":"85","author":"MR Farrell","year":"2015","unstructured":"Farrell MR, Sherer BA, Levine LA (2015) Visual internal urethrotomy with intralesional mitomycin c and short-term clean intermittent catheterization for the management of recurrent urethral strictures and bladder neck contractures. J Urol 85:1494\u20131499","journal-title":"J Urol"},{"key":"4434_CR22","first-page":"1589","volume":"123","author":"T Jin","year":"2010","unstructured":"Jin T, Li H, Jiang LH et al (2010) Safety and efficacy of laser and cold knife urethrotomy for urethral stricture. Chin Med 123:1589\u20131595","journal-title":"Chin Med"},{"issue":"1","key":"4434_CR23","first-page":"39","volume":"15","author":"M Solakhan","year":"2020","unstructured":"Solakhan M, Bayrak \u00d6 (2020) Endoscopic surgery of urethral strictures: laser versus knife. Yeni \u00dcroloji Dergisi 15(1):39\u201344","journal-title":"Yeni \u00dcroloji Dergisi"},{"issue":"4","key":"4434_CR24","doi-asserted-by":"publisher","first-page":"328","DOI":"10.4103\/0974-7796.140997","volume":"6","author":"SK Jain","year":"2014","unstructured":"Jain SK, Kaza RC, Singh BK (2014) Evaluation of holmium laser versus cold knife in optical internal urethrotomy for the management of short segment urethral stricture. Uro Ann 6(4):328\u2013336","journal-title":"Uro Ann"},{"issue":"11","key":"4434_CR25","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1016\/j.kjms.2011.06.013","volume":"27","author":"M Atak","year":"2011","unstructured":"Atak M, Tokg\u00f6z H, Akduman B et al (2011) Low-power holmium:YAG laser urethrotomy for urethral stricture disease: comparison of outcomes with the cold-knife technique. Kaohsiung J Med Sci 27(11):503\u2013507","journal-title":"Kaohsiung J Med Sci"},{"issue":"56","key":"4434_CR26","doi-asserted-by":"publisher","first-page":"161","DOI":"10.5489\/cuaj.3382","volume":"10","author":"A Jhanwar","year":"2016","unstructured":"Jhanwar A, Kumar M, Sankhwar SN et al (2016) Holmium laser vs. conventional (cold knife) direct visual internal urethrotomy for short-segment bulbar urethral stricture: outcome analysis. Can Urol Assoc J. 10(56):161\u2013164","journal-title":"Can Urol Assoc J."},{"issue":"1","key":"4434_CR27","first-page":"114","volume":"71","author":"MG Yenice","year":"2018","unstructured":"Yenice MG, Seker KG, Sam E et al (2018) Comparison of cold-knife optical internal urethrotomy and holmium: YAG laser internal urethrotomy in bulbar urethral strictures. Cent European J Urol 71(1):114\u2013120","journal-title":"Cent European J Urol"},{"issue":"10","key":"4434_CR28","first-page":"2575","volume":"112","author":"Y Zhang","year":"2018","unstructured":"Zhang Y, Zhang X, Liu Y et al (2018) Comparison of therapeutic outcomes between thulium laser and cold-knife optical internal urethrotomy for short segment urethral stricture. J Urol Ren Dis 112(10):2575\u20137903","journal-title":"J Urol Ren Dis"},{"issue":"3","key":"4434_CR29","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1007\/s11255-011-0094-8","volume":"44","author":"SA Dutkiewicz","year":"2012","unstructured":"Dutkiewicz SA, Wroblewski M (2012) Comparison of treatment results between holmium laser endourethrotomy and optical internal urethrotomy for urethral stricture. Inter urol nephrol 44(3):717\u2013724","journal-title":"Inter urol nephrol"},{"issue":"12","key":"4434_CR30","first-page":"13792","volume":"11","author":"J Chen","year":"2018","unstructured":"Chen J, Qian L, Zheng B, Ming L (2018) Comparison of holmium laser combined ureteroscopy and cold knife urethrotomy in treatment of simple urethral stricture: a 5 year follow-up study. Int J Clin Exp Med 11(12):13792\u201313796","journal-title":"Int J Clin Exp Med"},{"issue":"4","key":"4434_CR31","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1159\/000478026","volume":"99","author":"LT Castellanos","year":"2017","unstructured":"Castellanos LT, Bencardino MC, Bravo-Balado A et al (2017) Evaluation of the efficacy and safety of laser versus cold knife urethrotomy in the management of patients with urethral strictures: a systematic review and meta-analysis of randomized clinical trials. Urol Inter 99(4):453\u2013459","journal-title":"Urol Inter"},{"issue":"8","key":"4434_CR32","doi-asserted-by":"publisher","first-page":"2424","DOI":"10.18203\/2349-2902.isj20173181","volume":"4","author":"HH Kegham","year":"2017","unstructured":"Kegham HH, Khudhur AI, Ameen AA (2017) Comparison between holmium laser and cold knife direct vision internal urethrotomy for treatment of urethral stricture. Inter J Surg 4(8):2424\u20132428","journal-title":"Inter J Surg"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-023-04434-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-023-04434-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-023-04434-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T16:05:42Z","timestamp":1689609942000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-023-04434-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,31]]},"references-count":32,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["4434"],"URL":"https:\/\/doi.org\/10.1007\/s00345-023-04434-8","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,31]]},"assertion":[{"value":"10 January 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No disclosure.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Institutional Review Board (IRB) approval and written informed consent was obtained from all patients.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}