Mohammad Ali Sajid, Shahzad Ahmad, Mobasher Ahmed Saeed, Nasir Malik.
Role of clean intermittent self catheterization (CISC) in management of recurrent urethral strictures.
Rawal Med J Jan ;35(1):75-7.

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: CISC has an important role in management of recurrent simple urethral strictures and is recommended for such cases. (Rawal Med J 2010;35: 75-77).

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