{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:14:15Z","timestamp":1790572455561,"version":"4.1.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>To evaluate the role of intralesional steroid and hyaluronidase injection after direct visual internal urethrotomy in short segment (\u2a7d2\u2009cm) anterior urethral strictures.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>A prospective, interventional, randomized study involved 100 patients who underwent direct visual internal urethrotomy for short anterior urethral stricture (\u2a7d2\u2009cm). Patients were randomized into two groups: Group A where all patients had received intralesional triamcinolone and hyaluronidase and Group B where no intralesional injection was given after doing direct visual internal urethrotomy.\u2009Postoperatively, all patients were trained for clean intermittent self-dilatation (CISD) using a 14\u2009Fr Foley catheter. Follow-up uroflowmetry was conducted on postoperative day 7 and at 1, 3, 6 and 12\u2009months or when had symptoms such as poor stream of urine, acute urinary retention. Success was defined as Qmax\u2009&gt;\u200912\u2009mL\/s for a minimum voided volume of 150\u2009mL and absence of voiding symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The recurrence rate was 24% in Group A compared to 46% in Group B, with a 22% absolute risk reduction (p\u2009=\u20090.021). The mean time to recurrence was 9.4\u2009\u00b1\u20092.5\u2009months in Group A versus 7.5\u2009\u00b1\u20092.2\u2009months in Group B (p\u2009=\u20090.039). The mean Qmax at 6 and 12\u2009months post-DVIU were significantly higher in Group A (15.5 and 14.6\u2009mL\/s) than in Group B (14.6 and 13.6\u2009mL\/s), with p-values of 0.006 and 0.002 respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Intralesional injection of triamcinolone and hyaluronidase following DVIU significantly reduces the recurrence rate, delays the time to recurrence and improves peak urinary flow rate in patients with short-segment (\u2a7d2\u2009cm) anterior urethral strictures compared to DVIU alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603251387896","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T12:05:46Z","timestamp":1762257946000},"page":"121-126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Role of intralesional steroid and hyaluronidase injection in reducing recurrence of urethral stricture after direct visual internal urethrotomy: A prospective study"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0815-5959","authenticated-orcid":false,"given":"Beheruk","family":"Kamalakanta","sequence":"first","affiliation":[{"name":"Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maiti","family":"Krishnendu","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8929-0961","authenticated-orcid":false,"given":"Sarkar","family":"Debansu","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.01.041"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/192710"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000154347.24230.f1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1984.tb05393.x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/ncpuro0320"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2012.53.9.614"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1159\/000127343"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.20.38"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)53849-5"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02575227"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2009.05.010"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2042.2002.00540.x"},{"issue":"4","key":"e_1_3_3_14_2","first-page":"265","article-title":"Clean intermittent catheterization with triamcinolone ointment following internal urethrotomy","volume":"5","author":"Hosseini J","year":"2008","unstructured":"Hosseini J, Kaviani A, Golshan AR. Clean intermittent catheterization with triamcinolone ointment following internal urethrotomy. Urol J 2008; 5(4): 265\u2013268.","journal-title":"Urol J"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/03915603241258697"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251387896","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603251387896","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603251387896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T21:47:48Z","timestamp":1769636868000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603251387896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,4]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/03915603251387896"],"URL":"https:\/\/doi.org\/10.1177\/03915603251387896","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,4]]}}}