Roosen J U
Department of Urology, University of Copenhagen, Bispebjerg Hospital, Denmark.
Urol Int. 1993;50(2):90-2. doi: 10.1159/000282459.
Following urethrotomy approximately 50% develop recurrence within 6 months. Twenty-nine consecutive patients were offered clean intermittent self-catheterization (CISC) as a preventive measure against urethral stricture recurrence following internal urethrotomy. Ten patients dropped out during the scheduled 6-month regimen. Of the 19 patients left, a significantly improved flow was maintained over the period of observation. No reoperations were required. Prior to the trial, 14 of the 19 patients had a history of recurrent urethral stricture; 92% of these recurrences were diagnosed within 6 months following urethrotomy. It is concluded that CISC seems to be a promising preventive measure against recurrence of urethral stricture.
尿道切开术后,约50%的患者会在6个月内复发。连续29例患者接受了清洁间歇性自家导尿(CISC),作为预防尿道内切开术后尿道狭窄复发的一项措施。在预定的6个月疗程中,有10例患者退出。在剩下的19例患者中,在观察期内尿流得到了显著改善。无需再次手术。在试验前,19例患者中有14例有尿道狭窄复发史;其中92%的复发是在尿道切开术后6个月内确诊的。结论是,CISC似乎是预防尿道狭窄复发的一种有前景的措施。