Treatment of recurrent urethral strictures using clean intermittent self-catheterisation.
The treatment of urethral strictures has been greatly improved by the use of the optical urethrotome. However, there remains a group of patients with recurrent strictures for whom the alternatives remain long-term dilatation/urethrotomy or urethroplasty. Over the last 3 years we have treated 65 such patients using clean intermittent self-catheterisation as a method of self-dilatation. This has resulted in a dramatic decrease in the number of operations performed on these patients, with no significant reduction in urinary flow rate over an average follow-up period of 20 months. The method offers the possibility of long-term cure and should be offered to all all such patients, reducing still further the number of patients who require urethroplasty.
Robertson
G S
GS
Area Urological Service, Leicester General Hospital.
Everitt
N
N
Lamprecht
J R
JR
Brett
M
M
Flynn
J T
JT
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D012008:Recurrence; D012648:Self Care; D014525:Urethral Stricture / Q000628:therapy*; D014546:Urinary Catheterization