Victor Cornejo-Dávila1, Sergio Durán-Ortiz2, Carlos Pacheco-Gahbler3. 1. Division of Urology, Instituto Nacional de Rehabilitación. Electronic address: cornejomd@gmail.com. 2. Division of Urology, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico. 3. Division of Urology, Instituto Nacional de Rehabilitación.
Abstract
OBJECTIVE: To report the incidence of urethral stricture and its management in patients with spinal cord injury treated with clean intermittent self-catheterization (CIC). MATERIALS AND METHODS: The clinical records of 333 patients with spinal cord injury treated with CIC since 2001 were identified, and those who developed a urethral stricture during their follow-up, including their treatment and results achieved, were analyzed. RESULTS: The patients had a median age at the time of injury of 27 years, of which only 14 patients (4.2%) developed urethral stricture at a mean duration of self-catheterization of 9 years; 86% of them were treated with urethrotomy, without recurrence through a mean of 1-year follow-up. There are no previous reports of rates of urethral stricture in this type of patients in our institution; the rate found is considerably low, as is the recurrence after urethrotomy, which can be decreased by the continuous self-obturation achieved with catheterization. CONCLUSION: Urethral stricture as a complication of CIC in patients with spinal cord injury has a low incidence and can be effectively treated in those who develop it.
OBJECTIVE: To report the incidence of urethral stricture and its management in patients with spinal cord injury treated with clean intermittent self-catheterization (CIC). MATERIALS AND METHODS: The clinical records of 333 patients with spinal cord injury treated with CIC since 2001 were identified, and those who developed a urethral stricture during their follow-up, including their treatment and results achieved, were analyzed. RESULTS: The patients had a median age at the time of injury of 27 years, of which only 14 patients (4.2%) developed urethral stricture at a mean duration of self-catheterization of 9 years; 86% of them were treated with urethrotomy, without recurrence through a mean of 1-year follow-up. There are no previous reports of rates of urethral stricture in this type of patients in our institution; the rate found is considerably low, as is the recurrence after urethrotomy, which can be decreased by the continuous self-obturation achieved with catheterization. CONCLUSION: Urethral stricture as a complication of CIC in patients with spinal cord injury has a low incidence and can be effectively treated in those who develop it.
Authors: Lysanne Campeau; Samer Shamout; Richard J Baverstock; Kevin V Carlson; Dean S Elterman; Duane R Hickling; Stephen S Steele; Blayne Welk Journal: Can Urol Assoc J Date: 2020-07 Impact factor: 1.862
Authors: Andrew J Cohen; Philip J Cheng; Sikai Song; German Patino; Jeremy B Myers; Samit S Roy; Sean P Elliott; Joseph Pariser; Justin Drobish; Brad A Erickson; Thomas W Fuller; Jill C Buckley; Alex J Vanni; Nima Baradaran; Benjamin N Breyer Journal: Transl Androl Urol Date: 2021-05