Clean intermitent catheterisation in the management of urethral strictures.
OBJECTIVE
To compare clean intermittent self-catheterisation and urethral dilatation with sounds in the management of recurrent urethral strictures.


METHODS
A prospective randomised control trial between repeated urethral dilatation with sounds and use of clean intermittent self-catheterisation in the management of recurrent urethral strictures.


METHODS
Kenyatta National Hospital, urology clinics.


METHODS
Forty nine patients with recurrent urethral strictures were randomised between clean intermittent catheterisation (CISC) and urethral dilatation with sounds.


RESULTS
The urinary flow rates were better in patients on the CISC arm compared to the dilatation arm. Seventy three percent of patients having clutton sounds dilatation developed urinary tract infections compared to 25% of those on CISC. The patients in the CISC arm had a uniformly higher quality of life score than those having sounds dilatation of the urethra.


CONCLUSIONS
Clean intermittent self-catheterisation is an effective and safe way of managing recurrent urethral strictures. It is a better method than repeated clutton sounds dilatation.
Ngugi
P M
PM
Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 19676-00202, Nairobi, Kenya.
Kassim
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007630:Kenya; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012648:Self Care; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000628:therapy*; D014546:Urinary Catheterization; D014554:Urination