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Treatment of recurrent urethral strictures using clean intermittent self-catheterisation
G S Robertson1, N Everitt, J R Lamprecht
1Area Urological Service, Leicester General Hospital.
British Journal of Urology
|July 1, 1991
Summary
Clean intermittent self-catheterisation offers a new treatment for recurrent urethral strictures. This self-dilatation method significantly reduces operations and maintains urinary flow, potentially providing a long-term cure.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Recurrent urethral strictures pose treatment challenges.
- Current options include repeated dilatation/urethrotomy or urethroplasty.
Purpose of the Study:
- To evaluate clean intermittent self-catheterisation (CISC) for managing recurrent urethral strictures.
- To assess CISC's efficacy in reducing surgical interventions and maintaining urinary flow.
Main Methods:
- A cohort of 65 patients with recurrent urethral strictures were treated with CISC over three years.
- Self-catheterisation served as a method for consistent self-dilatation.
Main Results:
- CISC led to a significant decrease in the number of surgical procedures required.
- No substantial reduction in urinary flow rate was observed.
- The average follow-up period was 20 months.
Conclusions:
- Clean intermittent self-catheterisation is an effective treatment for recurrent urethral strictures.
- This method reduces the need for further operations and urethroplasty.
- CISC offers a potential long-term cure and should be considered for eligible patients.