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- W2022331663 abstract "OBJECTIVE To report our experience in the diagnosis and treatment of urethral stricture in women. PATIENTS AND METHODS A retrospective review of records and video‐urodynamics identified women treated for urethral stricture between 1999 and 2004 at one institution by one surgeon. Urethral stricture was defined as a fixed anatomical narrowing between the bladder neck and distal urethra of <14 F preventing catheterization, and the diagnosis was confirmed by cysto‐urethroscopy, and/or video‐urodynamics. Women with a history of external beam radiotherapy to the pelvis, or of gynaecological, urethral or bladder malignancy, were excluded, and the women had a urethral biopsy to exclude a malignant cause of the stricture. Initial treatment consisted of urethral dilatation to ≥ 30 F. After a period of indwelling catheterization, the women were placed on clean intermittent self‐catheterization (CISC) at least once daily, and monitored every 3–6 months. At each follow‐up, the urethra was catheterized to exclude recurrence. American Urological Association (AUA) symptom scores were obtained at presentation and at the initial 3 month follow‐up. RESULTS Seven women met the criteria for urethral stricture, and were followed for a mean (range) of 21 (6–34) months. All were initially maintained on daily CISC, and some were gradually reduced to weekly CISC for the duration of follow‐up. No patient had a recurrent stricture while on CISC, and none has had a urethral reconstruction to manage their condition. AUA symptom scores improved in all of the women by a mean of 10.7 points. No complications related to catheterization were noted. CONCLUSION Urethral stricture is rare in women. Long‐term CISC in these women is safe and effective, and can avoid the need for major reconstructive surgery." @default.
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- W2022331663 date "2006-06-08" @default.
- W2022331663 modified "2023-10-18" @default.
- W2022331663 title "Female urethral strictures: successful management with long-term clean intermittent catheterization after urethral dilatation" @default.
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- W2022331663 doi "https://doi.org/10.1111/j.1464-410x.2006.06206.x" @default.
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