Comparison of Outcomes of Optical Internal Urethrotomy with and without Clean Intermittent Self-Catheterization in Urethral Stricture
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Abstract
Background: Urethral stricture, a significant urological condition, poses challenges due to its recurrence and impact on quality of life. The management of urethral strictures has evolved, with clean intermittent self-catheterization (CISC) emerging as a potential adjunct to reduce recurrence rates. This study addresses the effectiveness of optical internal urethrotomy with and without CISC in urethral stricture management.
Objective: To compare the effectiveness of optical internal urethrotomy with and without the use of CISC in patients with urethral stricture.
Methods: This comparative study, conducted at the Department of Urology, Pakistan Institute of Medical Sciences, enrolled 134 male patients with urethral strictures. Using non-probability purposive sampling, patients were divided into two groups: those undergoing optical internal urethrotomy with CISC (Group A) and without CISC (Group B). The study spanned six months, from May to October 2023, and utilized SPSS (Version 24) for data analysis.
Results: Group A (n=67) demonstrated a higher efficacy in managing urethral strictures with an 88.1% success rate, compared to 68.7% in Group B (n=67). The statistical significance was marked by a P-value of 0.006, indicating the effectiveness of CISC in reducing stricture recurrence.
Conclusion: The study concludes that optical internal urethrotomy, when complemented with CISC, significantly enhances treatment outcomes in urethral stricture management. These findings suggest a potential shift in postoperative care, advocating for the inclusion of CISC to improve patient outcomes. Further research is warranted to validate these findings and explore long-term effects.
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