INTERMITTENT URETHRAL SELF DILATATION FOR PREVENTION OF RECURRENT STRICTURE

Objective: To find out the role of clean intermitting self dilatation (CISD) for the prevention of recurrent urethral stricture. Material and Methods: This comparative study of patients undergoing optical urethrotomy for anterior urethral stricture was conducted in Surgical Unit Hayatabad Medical Complex, Khyber Medical Centre and Khyber Teaching Hospital Peshawar from July 2004 to June 2008. Results: A total of 146 male patients were included in the study. They were divided into two groups of 73 each on alternate basis. Group A was control group and group B with clean intermitting self dilatation and were followed upto 8 months. Study results showed a high rate of recurrence in control group A i.e. 42 patients (57.53%) in comparison to self dilatation group B i.e. 26 patients (35.61%). Conclusion: Clean intermitting self dilatation is an effective procedure in the prevention of recurrent urethral strictures for primary strictures and deep strictures between 0.5-1.5cm length after optical urethrotomy