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Urology ; 99: 260-264, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27566143

RESUMO

OBJECTIVE: To report the incidence of urethral stricture and its management in patients with spinal cord injury treated with clean intermittent self-catheterization (CIC). MATERIALS AND METHODS: 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. RESULTS: 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. CONCLUSION: 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.


Assuntos
Cateterismo Uretral Intermitente/efeitos adversos , Autocuidado/efeitos adversos , Traumatismos da Medula Espinal/complicações , Estreitamento Uretral/epidemiologia , Bexiga Urinaria Neurogênica/terapia , Adulto , Vértebras Cervicais , Feminino , Humanos , Incidência , Vértebras Lombares , Masculino , México/epidemiologia , Recidiva , Estudos Retrospectivos , Traumatismos da Medula Espinal/terapia , Vértebras Torácicas , Estreitamento Uretral/etiologia , Bexiga Urinaria Neurogênica/complicações
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