Self-catheterization after urethrotomy. Prevention of urethral stricture recurrence using clean intermittent self-catheterization.
Following urethrotomy approximately 50% develop recurrence within 6 months. Twenty-nine consecutive patients were offered clean intermittent self-catheterization (CISC) as a preventive measure against urethral stricture recurrence following internal urethrotomy. Ten patients dropped out during the scheduled 6-month regimen. Of the 19 patients left, a significantly improved flow was maintained over the period of observation. No reoperations were required. Prior to the trial, 14 of the 19 patients had a history of recurrent urethral stricture; 92% of these recurrences were diagnosed within 6 months following urethrotomy. It is concluded that CISC seems to be a promising preventive measure against recurrence of urethral stricture.
Roosen
J U
JU
Department of Urology, University of Copenhagen, Bispebjerg Hospital, Denmark.
D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012008:Recurrence; D012189:Retrospective Studies; D012648:Self Care; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000517:prevention & control*; D014546:Urinary Catheterization / Q000379:methods