title: [Efficiency and tolerance of intermittent self-dilatation after internal urethrotomy for urethral strictures].
abstract: OBJECTIVE
  To retrospectively evaluate efficiency and tolerance of intermittent self-dilatation (ISD) after unicenter internal urethrotomy (IU) on urethral strictures (US).
  
  
  METHODS
  From January 2000 to November 2008, ISD have been performed after IU on 54 patients; 44.4% were iatrogenic. ISD median frequency was once a week (0.25-14). ISD was carried out for a median period of 8.4 months (0-97).
  
  
  RESULTS
  IPSS was 21 at diagnosis vs 7 during ISD (P=0.018). QoL score of IPSS was 5 at diagnosis vs 2 during ISD (P=0.03). Maximum flow rate was 4.6mL/s at diagnosis vs 16.6mL/s during ISD (P=0.003). Ten patients had recurrence during ISD period. The follow-up from the beginning of ISD was 35 months (range, 0-164). Urologists' evaluation of ISD tolerance was excellent or good for 47 patients (87%). Tolerance self-evaluation was excellent or good for seven patients out of 15.
  
  
  CONCLUSIONS
  ISD was a well-tolerated and useful option after IU. It had a 81.5% efficiency in our cohort.
authors: Service d'urologie, CHU La Milétrie, Poitiers, France. antoine.rouane@club.fr
authors: A
authors: A
authors: Rouanet
authors: A
authors: A
authors: Gagnat
authors: A
authors: A
authors: Puichaud
authors: R
authors: R
authors: Briffaux
authors: C
authors: C
authors: Pires
authors: B
authors: B
authors: Doré
authors: J
authors: J
authors: Irani
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D002408:Catheters, Indwelling; D059026:Diagnostic Self Evaluation; D004106:Dilatation / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D055502:Secondary Prevention; D012648:Self Care; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery / Q000628:therapy*