Incidence of Urethral Stricture in Patients with Spinal Cord Injury Treated with Clean Intermittent Self-Catheterization

To report the incidence of urethral stricture and its management in patients with spinal cord injury treated with clean intermittent self-catheterization.

The clinical records of 333 patients with spinal cord injury treated with clean intermittent self-catheterization since 2001 were identified and those that developed a urethral stricture during their follow-up, including their treatment and results achieved were analyzed.

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 one-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.

Urethral stricture as a complication of clean intermittent self-catheterization in patients with spinal cord injury has a low incidence and can be effectively treated in those who develop it.

Urology. 2016 Aug 23 [Epub ahead of print]

Víctor Cornejo-Dávila, Sergio Durán-Ortiz, Carlos Pacheco-Gahbler

Division of Urology, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico. Electronic address: ., Division of Urology, Instituto Nacional de Rehabilitación, Mexico City, Mexico., Division of Urology, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico.