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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
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.
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:
- 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.