Treatment of Recurrent Urethral Strictures Using Clean I ntermittent Self‐catheterisation

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Abstract
Summary The treatment of urethral strictures has been greatly improved by the use of the optical urethrotome. However, there remains a group of patients with recurrent strictures for whom the alternatives remain long‐term dilatation/urethrotomy or urethroplasty.Over the last 3 years we have treated 65 such patients using clean intermittent self‐catheterisation as a method of self‐dilatation. This has resulted in a dramatic decrease in the number of operations performed on these patients, with no significant reduction in urinary flow rate over an average follow‐up period of 20 months.The method offers the possibility of long‐term cure and should be offered to all such patients, reducing still further the number of patients who require urethroplasty.

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