Prevention of urethral stricture recurrence using clean intermittent self‐catheterization

Kjærgaard, Benedict; Walter, Steen; Bartholin, J; Andersen, Jens T.; Nøhr, Susanne Backman; Beck, H.; Jensen, Bruno Nyholm; Lokdam, A; Glavind, Karin

doi:10.1111/j.1464-410x.1994.tb07558.x

Cited by 65 publications

(32 citation statements)

References 7 publications

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“…In a study on 30 SCI patients Waller et al 12 found that patients who use hydrophilic catheters do as well or better than patients using Patients' satisfaction with the use of a hydrophilic catheter has been studied by Diokno et al 13 Of eight experienced patients who had performed CIC for a variable period 81% had a more favourable general opinion of the disposable than of the previous catheter, 81% found the disposable catheter to be more convenient and 88% thought it was easier to handle. That CIC can help in the prevention of urethral stricture recurrence has been demonstrated by Kjaergaard et al 14 Our results show that the use of Urocath-Gel 1 catheters can be a good solution for patients with a problematic use of ordinary catheters for CIC. The Urocath-Gel 1 catheters are safe and well tolerated by the majority.…”

Section: Discussionsupporting

confidence: 75%

Evaluation of the use of Urocath-Gel® catheters for intermittent self-catheterization by male patients using conventional catheters for a long time

Wyndaele

Ridder²,

Everaert

et al. 2000

Spinal Cord

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Study design: Prospective study of intermittent self-catheterization (CIC) with change from conventional catheter to low-friction Urocath-Gel 1 catheter. Objectives: To evaluate if such catheters are well accepted and to evaluate their practical use. Methods: Thirty-nine male patients, between 19 and 74 years old, performing clean intermittent self-catheterization with conventional catheters for a neuropathic bladder for many years were included in this study after written informed consent. Exclusion criteria were clinical urinary tract infection, acute infection of urethra, prostate or epididymis, untreated urethral strictures and false passages or severe urethral bleeding occurring within the last month. During 1 month they changed to the use of the Urocath-Gel 1 catheter. Complications were noted. Satisfaction was evaluated by a visual analogue scale and by questioning. Results: Four patients did not complete the study, two for side e ects, two for di culties with the catheterization technique. Time needed for CIC was not di erent with both techniques. Di cult introduction or di cult retreat of the catheter were not di erent in frequency. Impossibility to introduce the catheter was less frequent. Urethritis and urethral bleeding were less frequent than during the use of conventional catheters. Satisfaction was better with the low friction catheters. Negative satisfaction was mainly related to the availability and the use of water to lubricate the catheter, di culty of manipulation and fear for cost. Conclusion: The hydrophilic catheter Urocath-Gel 1 proved as easy to use as conventional catheters but was better tolerated. Satisfaction was better especially in patients who experienced problems with conventional catheters. Some patients were unsatis®ed for reasons of practical use or for economical reasons. Spinal Cord (2000) 38, 97 ± 99

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Section: Discussionsupporting

confidence: 75%

Evaluation of the use of Urocath-Gel® catheters for intermittent self-catheterization by male patients using conventional catheters for a long time

Wyndaele

Ridder²,

Everaert

et al. 2000

Spinal Cord

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“…18 Moreover, histological analysis in an animal study by Hong et al revealed that the group treated with HA/CMC exhibited Bodker et al 22 Self-catheterization 28 -12 78.0 Roosen 23 Self-catheterization 19 -6 0 Kjaergaaed et al 24 Self-catheterization 21 -12 19.1 Mkony 25 Hydraulic urethral dilatation 23 <0.5 6 8.7…”

Section: Discussionmentioning

confidence: 97%

The Effects of Hyaluronic Acid and Carboxymethylcellulose in Preventing Recurrence of Urethral Stricture After Endoscopic Internal Urethrotomy: A Multicenter, Randomized Controlled, Single-Blinded Study

Chung

Kang

Choi

et al. 2013

Journal of Endourology

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“…Moreover, video documentation and stent placing are impossible when using dilators. Regardless of the protocol details, the practice of CIC after initial urethral dilation, whether carried out by the patient himself or other family members, is known to keep the urethra wide for the longest possible time; thus, avoiding restricture formation [6, 7, 8]. …”

Section: Discussionmentioning

confidence: 99%

Bougie urethral dilators; revival or survival?

Katib¹,

Aladawi²

2013

CEJU

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ObjectivesTo present our center's experience in managing bladder outlet obstruction (BOO) conditions using bougie dilators. We described the dilation technique methodically for teaching purpose.Patients and methodRetrospectively, a total of 196 medical records over the last four years denoting BOO conditions in men, women, and children were retrieved for analysis. Data reviewed for common complications was namely: perforation, recurrence, urinary tract obstruction (UTI) and inability to overcome the obstruction.ResultsAmong the 196 analyzed cases, 24 (12.2%) cases were cured, whereas 172 (87.8%) cases reported complications. Within the complicated cases analyzed, 134 (68.4%) cases had recurrent obstructions, 13 (6.6%) cases had perforations, 6 (3.0%) cases developed UTI, while in 19 (9.7%) cases, we failed to pass the obstruction.ConclusionsIn our center where urethral dilation technique has revived four years ago, it turned back to be the standard choice in managing BOO cases. We propose the technique to Urology training program directors, all over the world, to teach it as a compulsory skill for junior urologists to master.

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Prevention of urethral stricture recurrence using clean intermittent self‐catheterization

Abstract: Weekly CIC is a simple method of reducing the frequency of urethral stricture recurrence after internal urethrotomy.

Cited by 65 publications

References 7 publications

Evaluation of the use of Urocath-Gel® catheters for intermittent self-catheterization by male patients using conventional catheters for a long time

Evaluation of the use of Urocath-Gel® catheters for intermittent self-catheterization by male patients using conventional catheters for a long time

The Effects of Hyaluronic Acid and Carboxymethylcellulose in Preventing Recurrence of Urethral Stricture After Endoscopic Internal Urethrotomy: A Multicenter, Randomized Controlled, Single-Blinded Study

Bougie urethral dilators; revival or survival?

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