Objectives:To determine the feasibility of routinely performing internal urethrotomy for anterior urethral stricture under intracorpus spongiosum anesthesia in an outpatient setting.Methods:In a consecutive series of 18 patients with anterior urethral stricture

a dosage of 2~3 ml of 1%~2% lidocaine was slowly injected into the glans penis.Next

optical urethrotomy was performed immediately with a cold-cutting knife.According to pain scale

the effect of this anesthetic technique was assessed by questionnaire.Results:Internal urethrotomy was successfully completed in all the patients.All patients had no pain or discomfort.All the minor procedures varying from 15 to 45 minutes in duration were successfully completed under the new local anesthesia without any additional IV sedation.The anesthesia was very satisfactory without any complications.Conclusions:Under intracorpus spongiosum anesthesia

optical urethrotomy can be routinely performed in an outpatient setting.With this new local anesthesia

internal urethrotomy is a safe

effective

simple

and inexpensive procedure for treatment of anterior urethral stricture.