Stricture prevention after OIU के बाद स्ट्रिक्चर का दोबारा बनना कैसे बचायें?
Even in well selected patients, stricture recurs in 20% patients after first OIU/DVIU and more than 50% after a second attempt. Some strategies help decreasing this risk by just a fraction but with their own risk.
Like Self catheterisation. It may help stabilise but if done forcefully over a coming back stricture, it can cause bleeding and false passage. hence it is not for all
In my practice I suggest self caliberation to those patients who are motivated for it.
Mitomycin is a chemotherapy drug which can have its own side effects, but has shown some promise.
Failed OIU
Failed Stricture treatment
Recurrence stricture
Urethropalsty
Prevention of Stricture again
Links to full scientific studies quoted are
- https://pubmed.ncbi.n/lm.nih.gov/25523166
- https://pubmed.ncbi.nlm.nih.gov/26094812/
- https://pubmed.ncbi.nlm.nih.gov/34275660/
- https://pubmed.ncbi.nlm.nih.gov/37122691/
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