title: Incidence of Urethral Stricture in Patients With Spinal Cord Injury Treated With Clean Intermittent Self-Catheterization.
abstract: OBJECTIVE
  To report the incidence of urethral stricture and its management in patients with spinal cord injury treated with clean intermittent self-catheterization (CIC).
  
  
  METHODS
  The clinical records of 333 patients with spinal cord injury treated with CIC since 2001 were identified, and those who developed a urethral stricture during their follow-up, including their treatment and results achieved, were analyzed.
  
  
  RESULTS
  The patients had a median age at the time of injury of 27 years, of which only 14 patients (4.2%) developed urethral stricture at a mean duration of self-catheterization of 9 years; 86% of them were treated with urethrotomy, without recurrence through a mean of 1-year follow-up. There are no previous reports of rates of urethral stricture in this type of patients in our institution; the rate found is considerably low, as is the recurrence after urethrotomy, which can be decreased by the continuous self-obturation achieved with catheterization.
  
  
  CONCLUSIONS
  Urethral stricture as a complication of CIC in patients with spinal cord injury has a low incidence and can be effectively treated in those who develop it.
authors: Division of Urology, Instituto Nacional de Rehabilitación. Electronic address: cornejomd@gmail.com.
authors: Victor
authors: V
authors: Cornejo-Dávila
authors: Division of Urology, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico.
authors: Sergio
authors: S
authors: Durán-Ortiz
authors: Division of Urology, Instituto Nacional de Rehabilitación.
authors: Carlos
authors: C
authors: Pacheco-Gahbler
mesh_terms: D000328:Adult; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D015994:Incidence; D057928:Intermittent Urethral Catheterization / Q000009:adverse effects*; D008159:Lumbar Vertebrae; D008297:Male; D008800:Mexico / Q000453:epidemiology; D012008:Recurrence; D012189:Retrospective Studies; D012648:Self Care / Q000009:adverse effects*; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy; D013904:Thoracic Vertebrae; D014525:Urethral Stricture / Q000453:epidemiology* / Q000209:etiology; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000628:therapy*