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The Mooreville Urethrotome

The Otis Urethrotome simplified

The new urethrotome allows for easy and safe non-visual internal urethrotomy by passage over a guidewire, no moving parts and cutting of only fibrous scar. The flat blade protects normal urethra, which is pushed gently away during passage.

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Key Benefits

Easy to use in multiple settings. Improved reimbursement.

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Method of Use

Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.

Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.

The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.

Method of Use

Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the stem. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.

Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.

The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.
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Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Both the instrument and the handle are autoclavable

The main Set

2 different sizes, 8 – 14 F and 10 – 20 F

graded in centimeters

“CM” markings on the stem of the instrument to help assess the depth of the stricture. “Double” markings at 5, 10 and 15 cm

More Control

Flexible stem with tactile feedback characteristics.

Conical head

Central hole for passage over a guidewire

Blade Height

Height of blade does not exceed circumference of the cone

Pricing

$1,599 for full set (2)

Shipping: $50

SKU # 4401

Patent # 10,500,379

Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

1,2,3 cms.gov

references

Suprapubic tract dilation using the Otis urethrotome. Thrasher JB, Kreder KJ. Urology. 1993 Mar; 41(3):247-8.
https://www.ncbi.nlm.nih.gov/pubmed/8442308

Percutaneous nephrostomy tract incision using a modified Otis urethrotome. Ireton RC. Urology Clinics of North Am. 1990 Feb; 17(1):195-8
https://www.ncbi.nlm.nih.gov/pubmed/2305529

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