Dr. Sanjay Kulkarni's Urethroplasty Center - Management of Strictures - Self Cath

Management - Self Cath

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Many centers advocate a policy of single DVIU followed by self intermittent catheterization. This policy is useful in those patients who are unfit for surgery, those who refuse surgery, after filled complex urethroplasty where the surgeon does not want to perform more surgery.

Self intermittent catheterization is performed by the patient daily initially and slowly the interval is increased to once in a week to once a month.A 14F Nelaton catheter is used by many patients.They wash their hands with soap and water lubricate the catheter Xylocaine jelly and introduce it through the meatus into the bladder after use the catheter  is stored in jar of antiseptic solution such as Betadine.

Some patients develop restricture quickly and the patients have difficulty in maintaining caliber themselves.  Recurrent urine infection dysuria and bleeding could be the possible complications of self cath over a long period of time the length of the stricture may increase and the spongio fibroses becomes severe due to repeated trauma.