comparative role of optical urethrotomy with and without clean intermittent self catheterization [CISC] in urethral stricture

ABSTRACT

To assess the comparative role of optical urethrotomy in urethral strictures with [CISC] clean intermittent self catheterization and with out CISC. Comparative cross sectional. This study was conducted at the Department of Urology Peoples University of Medical and health Sciences for Women. Nawabshan. Sind from July 2008 to June 2010. The patients were thoroughly evaluated. All patients were subjectively examined pre-operatively by detailed history and complete clinical examination. Patient's satisfaction from his urinary stream and the sense of satisfactorily emptying of bladder were the main subjective tool. While the Uro-Flow Metry and Post-voiding residual urine were the main objective tools in both pre and post operative period. Under the spinal anesthesia optical internal urethrotomy was done. After removal of catheter all patients were divided equally in two groups. Group A. Patients without clean intermittent self Catheterization [CISC]. Group B. Patients on clean intermittent self catheterization [CISC]. All hundred [100] subjects were divided in two groups. Group A and B. Fifty [50] in each group. After third month seven [07] patients of group A, showed decline uro-flow Metry. Two [02] subjects in fifth month were submitted for the second session of optical urethrotomy. In Seventh month three [03] patients presented acute retention of urine all three were submitted for second session of optical urethrotomy. In 12th month five patients more submitted for the repeat session of optical urethrotomy regarding the group B patients. In the seventh month [05] patients presented with disturbed flow metry. In tenth month two [02] while in twelth month three [03] patients were needed to the second and third sessions of urethrotomy respectively. we conclude that optical urethrotomy with CISC is more effective treatment modality for the urethral strictures than the optical urethrotomy without CISC