Treatment of Recurrent Urethral Stricture by Internal Urethrotomy and Intermittent Self-Catheterization: A Controlled Study of a New Therapy

Clean intermittent self-catheterization does not appear to be effective in the prevention of urethral stricture recurrence

“…The benefit of long-term CISC (> 6 months) has not been confirmed by other groups [8]. Matanhelia et al [9] and Bodker et al [12] both demonstrated no benefit from CISC in the prevention of stricture recurrence, although follow-up was shorter (up to 3 months) and stricture recurrence higher, at 76-78% in the CISC group and 80-82% in the no CISC group, than in other studies.…”

“…There was a relatively high proportion of stricture in both groups following transurethral resection of the prostate (TURP) and insertion of an indwelling urethral catheter, at 36% and 24%, respectively. This probably relates to the period of the patients' original TURP and the generalist nature of the urology practice in their treating hospital; however, rates of iatrogenic stricture remain high in contemporary series from specialist urethroplasty centres, at 38.6-45.5% [11,12].…”

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

“…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…”

Transurethral Laser Urethrotomy with Argon Laser: Experience with 900 Urethrotomies in 450 Patients from 1978 to 1993

“…Rate o f success after internal visual urthrotomy is reported as being up to 80% [2,3] in early publications. Later investigations found a lower rate o f long-term success [4][5][6][7] and some reported a recurrence rate o f up to 82% [7].…”