The Comparative Role of Optical Urethrotomy with and without Clean Intermittent Self Catheterization (CISC) in Urethral Stricture

Abstract

Objective: To assess the comparative role of optical urethrotomy in urethral strictures with (CISC) clean 
intermittent self catheterization and with out CISC. 
Study Design: comparative cross sectional. 
Place and Duration of Study: This study was conducted at the Department of Urology Peoples University of 
Medical and Health Sciences for Women. Nawabshah. Sind from July 2008 to June 2010. 
Materials and Methods: 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).  
Results: All hundred (100) subjects were divided in two groups. Group A &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. 
Conclusion:  we conclude that optical urethrotomy with CISC is more effective treatment modality for the urethral 
strictures than the optical urethrotomy without CISC.