Role of Clean Intermittent Self Catheterization (CISC) in management
of recurrent urethral strictures
Mohammad Ali Sajid, Shahzad Ahmad, Mobasher Ahmed Saeed, Nasir Malik.
Abstract
Objective
To evaluate the role of CISC in management of recurrent urethral strictures.
Patients and Methods
The study consisted of 111 patients of urethral stricture disease, who developed
recurrence and required further sessions of Internal Optical Urethrotomy (IOU) at 6-12
weekly interval during a period of 2 years at Urology department, POF Hospital, Wah
Cantt. After the second recurrence, IOU was performed and the patients were taught
CISC before being discharged from the hospital. They were followed up by a repeat
cystoscopy at 12 weeks interval. Recurrence, if any, was noted. They were asked about
the acceptability of the procedure.
Results
Only 9.43% developed recurrence of urethral stricture at 12 weekly follow up. Majority
of patients who completed the CISC program considered the method acceptable. No
significant complications were seen.
Conclusion
2
CISC has an important role in management of recurrent simple urethral strictures and is
recommended for such cases. (Rawal Med J 2010;35: ).
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