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Related Experiment Videos

Recurrent urethral stricture disease managed by clean intermittent self-catheterization.

L H Newman1, N N Stone, J H Chircus

  • 1Department of Urology, Elmhurst Hospital Center, New York, New York.

The Journal of Urology
|November 1, 1990
PubMed
Summary

Clean intermittent self-catheterization (CISC) offers a viable alternative for patients with urethral stricture. This method effectively maintains urethral patency, reducing the need for repeat surgical interventions.

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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Urethral stricture often requires repeated surgical interventions.
  • Filiform and follower dilation is a common maintenance therapy but can be burdensome.

Purpose of the Study:

  • To evaluate the efficacy of clean intermittent self-catheterization (CISC) in maintaining urethral patency in patients with recurrent urethral stricture.
  • To assess patient compliance and uroflowmetry outcomes with CISC.

Main Methods:

  • 41 patients with a history of failed urethral stricture surgery were instructed in CISC using a 16F red rubber catheter.
  • Catheterization frequency ranged from every 1 to 30 days.
  • Uroflowmetry was measured before dilation and at follow-up visits ranging from 9 to 36 months.

Main Results:

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  • Excellent patient compliance with CISC was observed.
  • Average peak uroflow rates significantly improved from 5.5 cc/sec to 17.1 cc/sec.
  • CISC effectively maintained urethral patency, obviating the need for further dilations or surgeries.

Conclusions:

  • Clean intermittent self-catheterization is a simple, effective, and well-tolerated method for managing urethral stricture.
  • CISC provides a valuable alternative to repeated dilations and surgical procedures for maintaining urethral patency.