Incidence of Urethral Stricture in Patients With Spinal Cord Injury Treated With Clean Intermittent Self-Catheterization

• DOI: 10.1016/j.urology.2016.08.024
• Publication Date: 2016-08-25T18:26:49Z
• Authors: Victor Cornejo-Dá...; Sergio Durán-Ortiz; Carlos Pacheco-Ga...
• Keywords: Adult; Male; Urethral Stricture; Lumbar Vertebrae; Incidence; Thoracic Vertebrae; 3. Good health; Self Care; 03 medical and health sciences; 0302 clinical medicine; Recurrence; Cervical Vertebrae; Humans; Female; Intermittent Urethral Catheterization; Urinary Bladder, Neurogenic; Mexico; Spinal Cord Injuries; Retrospective Studies

To report the incidence of urethral stricture and its management in patients with spinal cord injury treated with clean intermittent self-catheterization (CIC).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.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.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.