{"id":"https://openalex.org/W4411200611","doi":"https://doi.org/10.1016/j.ijscr.2025.111503","title":"Endoscopic dual-approach laser urethrotomy as a last-option for complex urethral stricture: A case report","display_name":"Endoscopic dual-approach laser urethrotomy as a last-option for complex urethral stricture: A case report","publication_year":2025,"publication_date":"2025-06-11","ids":{"openalex":"https://openalex.org/W4411200611","doi":"https://doi.org/10.1016/j.ijscr.2025.111503","pmid":"https://pubmed.ncbi.nlm.nih.gov/40516509","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12205619"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijscr.2025.111503","doi":"https://doi.org/10.1016/j.ijscr.2025.111503","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijscr.2025.111503","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.ijscr.2025.111503","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012016120","display_name":"Salim Lachkar","orcid":"https://orcid.org/0009-0001-1829-2596","observed_orcids":["https://orcid.org/0009-0001-1829-2596"]},"institutions":[{"id":"https://openalex.org/I4210130352","display_name":"Centre Hospitalier Ibn Sina","ror":"https://ror.org/038zpvz53","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210130352"]}],"countries":["MA"],"is_corresponding":true,"raw_author_name":"Salim Lachkar","raw_affiliation_strings":["Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco. Electronic address: lachkar.sa@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco. Electronic address: lachkar.sa@gmail.com","institution_ids":["https://openalex.org/I4210130352"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087648019","display_name":"Ahmed Ibrahimi","orcid":"https://orcid.org/0000-0001-8866-815X","observed_orcids":["https://orcid.org/0000-0001-8866-815X"]},"institutions":[{"id":"https://openalex.org/I4210130352","display_name":"Centre Hospitalier Ibn Sina","ror":"https://ror.org/038zpvz53","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210130352"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Ahmed Ibrahimi","raw_affiliation_strings":["Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco","institution_ids":["https://openalex.org/I4210130352"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109023437","display_name":"Mamoun Diouri","orcid":"https://orcid.org/0009-0000-8216-1657","observed_orcids":["https://orcid.org/0009-0000-8216-1657"]},"institutions":[{"id":"https://openalex.org/I4210130352","display_name":"Centre Hospitalier Ibn Sina","ror":"https://ror.org/038zpvz53","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210130352"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Mamoun Diouri","raw_affiliation_strings":["Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco","institution_ids":["https://openalex.org/I4210130352"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052296737","display_name":"Imad Boualaoui","orcid":"https://orcid.org/0000-0002-6233-0449","observed_orcids":["https://orcid.org/0000-0002-6233-0449"]},"institutions":[{"id":"https://openalex.org/I4210130352","display_name":"Centre Hospitalier Ibn Sina","ror":"https://ror.org/038zpvz53","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210130352"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Imad Boualaoui","raw_affiliation_strings":["Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco","institution_ids":["https://openalex.org/I4210130352"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Hachem El Sayegh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130352","display_name":"Centre Hospitalier Ibn Sina","ror":"https://ror.org/038zpvz53","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210130352"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Hachem El Sayegh","raw_affiliation_strings":["Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco","institution_ids":["https://openalex.org/I4210130352"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063724780","display_name":"Yassine Nouini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210130352","display_name":"Centre Hospitalier Ibn Sina","ror":"https://ror.org/038zpvz53","country_code":"MA","type":"healthcare","lineage":["https://openalex.org/I4210130352"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Yassine Nouini","raw_affiliation_strings":["Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco","institution_ids":["https://openalex.org/I4210130352"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5012016120"],"corresponding_institution_ids":["https://openalex.org/I4210130352"],"apc_list":{"value":2090,"currency":"USD","value_usd":2090},"apc_paid":{"value":2090,"currency":"USD","value_usd":2090},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"132","issue":"C","first_page":"111503","last_page":"111503"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11260","display_name":"Tracheal and airway disorders","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-urethral-stricture","display_name":"anterior urethral stricture","score":0.9739999771118164},{"id":"https://openalex.org/keywords/holmium-yag-laser","display_name":"holmium laser","score":0.9340000152587891},{"id":"https://openalex.org/keywords/pelvic-injuries","display_name":"pelvic trauma","score":0.6940000057220459},{"id":"https://openalex.org/keywords/clean-intermittent-self-catheterization","display_name":"clean intermittent self-catheterization","score":0.8939999938011169}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9210843443870544},{"id":"https://openalex.org/C2779863674","wikidata":"https://www.wikidata.org/wiki/Q7900440","display_name":"Urethrotomy","level":4,"score":0.8829549551010132},{"id":"https://openalex.org/C2778655861","wikidata":"https://www.wikidata.org/wiki/Q1585753","display_name":"Urethral stricture","level":3,"score":0.8189924359321594},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5293971300125122},{"id":"https://openalex.org/C2778841284","wikidata":"https://www.wikidata.org/wiki/Q7900438","display_name":"Urethroplasty","level":3,"score":0.44562166929244995},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.4233192801475525},{"id":"https://openalex.org/C2777085111","wikidata":"https://www.wikidata.org/wiki/Q9386","display_name":"Urethra","level":2,"score":0.3560035824775696},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.3301697373390198}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.ijscr.2025.111503","doi":"https://doi.org/10.1016/j.ijscr.2025.111503","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijscr.2025.111503","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12205619","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12205619/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12205619/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Surg Case Rep","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:11012826","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12205619","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40516509","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40516509","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of surgery case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1016/j.ijscr.2025.111503","doi":"https://doi.org/10.1016/j.ijscr.2025.111503","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijscr.2025.111503","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411200611.pdf","grobid_xml":"https://content.openalex.org/works/W4411200611.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W88091947","https://openalex.org/W2075231508","https://openalex.org/W2527801949","https://openalex.org/W2923375882","https://openalex.org/W2986370345","https://openalex.org/W2986963971","https://openalex.org/W4206696043","https://openalex.org/W4315780330","https://openalex.org/W4391052237","https://openalex.org/W4393933006","https://openalex.org/W4396605886","https://openalex.org/W4401007792","https://openalex.org/W4403790826","https://openalex.org/W4410611457"],"related_works":["https://openalex.org/W4413067598","https://openalex.org/W2020438402","https://openalex.org/W4392813510","https://openalex.org/W4239146513","https://openalex.org/W2413044294","https://openalex.org/W2087512954","https://openalex.org/W2364292535","https://openalex.org/W4301961021","https://openalex.org/W2356069553","https://openalex.org/W1968167663"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Anterior":[1],"urethral":[2,13,69,190,210],"stricture":[3,70,186],"is":[4],"a":[5,62,66,85,115,134,146,175,199,225,234],"common":[6],"complication":[7],"following":[8,71],"pelvic":[9,20,72],"trauma,":[10],"with":[11,65,239],"posterior":[12],"involvement":[14],"observed":[15],"in":[16,37,155,184,213],"10-25":[17],"%":[18],"of":[19,39,61,169,174,198],"fractures.":[21],"Traditional":[22],"management":[23],"includes":[24],"end-to-end":[25,81],"anastomosis":[26],"or":[27,42,122,217],"urethroplasty,":[28],"but":[29],"these":[30],"approaches":[31],"may":[32],"not":[33,224],"always":[34],"be":[35],"suitable":[36],"cases":[38],"patient":[40],"refusal":[41],"contraindication.":[43],"Minimally":[44],"invasive":[45,148,237],"alternatives,":[46],"such":[47],"as":[48,133,204],"endoscopic":[49,87,128,201],"urethrotomy,":[50],"are":[51,218],"increasingly":[52],"being":[53],"considered.":[54],"CASE":[55],"PRESENTATION:":[56],"We":[57],"present":[58],"the":[59,76,167,172,196],"case":[60,157,194],"30-year-old":[63],"male":[64],"complex":[67,151],"anterior":[68,209],"trauma.":[73],"Due":[74],"to":[75],"patient's":[77],"reluctance":[78],"toward":[79],"open":[80,125,221],"anastomosis,":[82],"we":[83],"performed":[84,101],"dual-route":[86,200],"laser":[88,98,129,202],"urethrotomy.":[89],"This":[90,193],"hybrid":[91,138],"approach,":[92],"combining":[93],"transurethral":[94],"and":[95,111,143,188,242],"transvesical":[96],"Holmium":[97],"access,":[99],"was":[100],"under":[102],"spinal":[103],"anesthesia.":[104],"The":[105,137],"procedure":[106],"allowed":[107],"for":[108,124,150,208,220,227],"guidewire":[109],"passage":[110],"urethrotomy":[112,130,203],"enlargement":[113],"within":[114,158],"4-minute":[116],"duration.":[117],"DISCUSSION:":[118],"In":[119],"patients":[120,214],"unwilling":[121],"unfit":[123],"reconstructive":[126],"surgery,":[127],"can":[131],"serve":[132],"viable":[135],"alternative.":[136],"technique":[139],"provides":[140],"enhanced":[141],"access":[142],"visualization,":[144],"offering":[145],"minimally":[147,236],"solution":[149],"strictures.":[152],"Early":[153],"intervention,":[154],"this":[156,231],"two":[159],"weeks,":[160],"helped":[161],"prevent":[162],"significant":[163],"tissue":[164],"scarring,":[165],"reducing":[166],"risk":[168],"recurrence.":[170],"Additionally,":[171],"implementation":[173],"clean":[176],"intermittent":[177],"self-catheterization":[178],"(CISC)":[179],"protocol":[180],"postoperatively":[181],"further":[182],"aids":[183],"preventing":[185],"formation":[187],"maintaining":[189],"patency.":[191],"CONCLUSION:":[192],"highlights":[195],"success":[197],"an":[205],"effective":[206],"treatment":[207],"stricture,":[211],"particularly":[212],"who":[215],"refuse":[216],"contraindicated":[219],"surgery.":[222],"While":[223],"substitute":[226],"definitive":[228],"surgical":[229],"repair,":[230],"approach":[232],"offers":[233],"promising,":[235],"option":[238],"favorable":[240],"short-":[241],"medium-term":[243],"outcomes.":[244]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2025-10-10T00:00:00"}
