Case Report: PDF OnlyUsing Stainless Steel Chopstick for Self-performing Urethral Sounding in Preventing Recurrence of Anterior Urethral StrictureLin, Yu-Hung; Huang, William Ji-Sien*; Chen, Kuang-Kuo Author Information Division of Urology, Department of Surgery, Taipei Veterans General Hospital, and Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C. *Correspondence to: Dr. William Ji-Sien Huang, Division of Urology, Department of Surgery, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C. E-mail: [email protected] Received: June 30, 2005; • Accepted: January 9, 2006. Journal of the Chinese Medical Association 69(4):p 189-192, April 2006. | DOI: 10.1016/S1726-4901(09)70204-7 Metrics Abstract Male urethral stricture is prone to recurrence, ranging from 40% to 80% according to the length of stricture no matter what treatment is introduced. Therefore, it has long been a common challenge for urologists to handle the problem. Sounding or self-dilation has proved to be effective in reducing the recurrence rate significantly. However, a standard equipment set of urethral bougie is too expensive for a patient's own use. On the other hand, the performance of regular outpatient sounding is time-consuming and costly. We present an easy way to perform urethral self-dilation using a stainless steel chopstick, which has proved to be cost effective and satisfactory for patients. From February 2001 to February 2003, 6 patients, with a mean age of 64.6 years (range 47–79), were introduced to this maneuver after a urethrotomy and were taught how to perform self-sounding with a stainless steel chopstick (18 Fr equivalent). The distance of advancement was determined individually by calibrating the location of the stricture. The long-term result of this maneuver was later checked with a telephone questionnaire about urination status in April 2005. The urethral strictures were located at penile in 3 patients, bulbar in 1, and navicular fossa with meatus in 2. The mean period for performing self-dilation was 15.3 weeks (range, 2–52). The mean follow-up period was 41.5 months (range, 26–55). No recurrence of stricture was found. © 2006 by Lippincott Williams & Wilkins, Inc.