Clean intermitent catheterisation in the managment of urethral strictures

Ngugi, P M; Kassim, Abdul-Malik

doi:10.4314/eamj.v84i11.9571

Cited by 6 publications

(8 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The proportion of idiopathic strictures in the present series was significantly higher in group 1 (41 vs 24%). This relationship is consistent with reported prevalence of idiopathic strictures in other series, with a trend toward higher prevalence in developed countries (18–44%) than in developing countries (4–32%) . Despite this difference, it must be acknowledged that these results may be purely attributable to differences in data collection.…”

Section: Discussionsupporting

confidence: 90%

“…In both groups, infection was an infrequently identified cause of urethral stricture. Rates of urethral stricture attributable to infection have previously been assumed to be a result of low access to care; however, significant variation in prevalence rates has been documented in cohorts from around the world (3-82%) [6,9,[14][15][16][17][18][19][20][21]. Similarly to the US/Italy cohort, the Indian cohort had a low prevalence of stricture attributable to infection, despite potential disparities in socio-economics and access to healthcare.…”

Section: Infectious Aetiologymentioning

confidence: 99%

See 1 more Smart Citation

A geographic analysis of male urethral stricture aetiology and location

et al. 2012

View full text Add to dashboard Cite

What's known on the subject? and What does the study add?• The incidence of specific aetiologies of urethral stricture disease has been reported from a variety of series throughout the world.• Most reported urethral stricture series are from single institutions or from a specific region of the world. We provide a multi-centred series to compare aetiologic incidence between differing regional populations. Objective• To better understand distinct regional patterns in urethral stricture aetiology and location among distinct regional populations. Patients and Methods• Data on 2589 patients who underwent urethroplasty from 2000 to 2011 were collected retrospectively from three clinical sites, including 1646 patients from Italy, 715 from India and 228 from the USA.• Data from all sites were single-surgeon series. As the data from the Italian and US cohorts were similar in aetiology, location and demographics, we combined these data to form group 1, and compared this group with men in the Indian cohort, group 2. • Age, stricture site and primary stricture aetiology were identified for each patient. Stricture site and primary aetiology were determined by the treating surgeon. Primary aetiology was defined as iatrogenic, trauma including pelvic-fracture-related urethral injury (PFUI), lichen sclerosus (LS), infectious, congenital, or unknown. Results• There were more penile strictures (27 vs 5%) and fewer posterior urethral stenoses (9 vs 34%) in group 1.• There were more iatrogenic strictures identified in group 1 (35 vs 16%). When comparing the aetiology of iatrogenic strictures alone, more strictures in group 1 were attributable to failed hypospadias repair (49 vs 16%).• More patients presented with LS (22 vs 7%) and external trauma (36 vs 16%) in group 2.• Prevalence of strictures of infectious aetiology was low (1%) with similar proportions between the two groups. Conclusions• We have shown that significant regional differences in stricture aetiology exist in a large multicentre cohort study. Group 1 had a higher proportion of penile strictures, largely owing to more iatrogenic strictures and, in particular, failed hypospadias repair. Group 2 had a higher proportion of PFUI and LS-associated urethal stricture.• Identified infection-related urethral stricture was rare in all cohorts. • Significant regional differences in stricture aetiology exist and should be considered when analysing international outcomes after urethroplasty. These data may also help the development of international disease prevention and treatment strategies.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Infectious Aetiologymentioning

confidence: 99%

A geographic analysis of male urethral stricture aetiology and location

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Three of the seven patients, however, required repeat dilations. A prospective, randomized trial of 49 patients compared urethral dilation with sounds with simple CIC for the management of recurrent urethral strictures [25]. Patients maintained on CIC alone had better objective urinary flow rates and better subjective quality-of-life scores.…”

Section: Treatment Strategies: Role Of Urethral Dilation and Urethrotomymentioning

confidence: 99%

Female Urethral Reconstruction

Ackerman¹,

Blaivas²,

Anger³

2010

Curr Bladder Dysfunct Rep

View full text Add to dashboard Cite

Female urethral strictures are rare; thus, the literature describing stricture management in women is sparse. Although urethral dilation continues to be performed at a high frequency in women despite lack of proven efficacy, this procedure is used for a variety of voiding complaints other than stricture. Hence, the long-term utility of dilation and urethrotomy for urethral stricture in women is unknown. This review describes the various urethroplasty techniques used in the management of female urethral stricture. Although grafts using a dorsal approach have been shown to be feasible in women, ventral flap techniques offer good long-term outcomes with minimal morbidity. Acute and delayed management of pelvic fracture–associated urethral distraction defects in women is also described. Unlike in men, immediate urethroplasty in women should be performed once the patient is hemodynamically stable.

show abstract

“…No trials used a psychometrically validated PROM to assess HRQoL. Ngugi et al deployed a novel, non‐validated questionnaire to compare regular outpatient urethral dilatation by a surgeon with sounds with ISD . Participants were asked to say how happy they were with the intervention one, three and 6 months after enrolment in the trial using a happiness Likert‐type scale.…”

Section: Resultsmentioning

confidence: 99%

“…Ngugi et al commented that there was a higher rate of UTI in the group receiving regular outpatient urethral dilatation with sounds versus the group who performed ISD but no further details are given …”

Section: Resultsmentioning

confidence: 99%