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J R Soc Med. 1988 March; 81(3): 136–139.
PMCID: PMC1291504

Treatment of urethral stricture disease by internal urethrotomy followed by intermittent 'low-friction' self-catheterization: preliminary communication.


The aim of this study was to determine whether the natural course of urethral stricture disease could be modified following urethrotomy by teaching patients intermittent self-catheterization. Preliminary results in 42 patients show that postoperative urine flow rates can be maintained if this method of 'low-friction' catheterization is adopted. The technique has been well received by an elderly group of patients and can be recommended for wider use.

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Selected References

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  • Sachse H. Zur Behandlung der Harnröhrenstriktur: Die transurethrale Schlitzung unter Sicht mit scharfem Schnitt. Fortschr Med. 1974 Jan 10;92(1):12–15. [PubMed]
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  • Gaches CG, Ashken MH, Dunn M, Hammonds JC, Jenkins IL, Smith PJ. The role of selective internal urethrotomy in the management of urethral stricture: a multi-centre evaluation. Br J Urol. 1979 Dec;51(6):579–583. [PubMed]
  • Smith PJ, Dunn M, Dounis A. The early results of treatment of stricture of the male urethra using the Sachse optical urethrotome. Br J Urol. 1979 Jun;51(3):224–228. [PubMed]
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  • Sachse H. Die Sichturethrotomie met scharfem Schnitt Indikation--Tecknik--Ergebnisse. Urologe A. 1978 May;17(3):177–181. [PubMed]
  • Marshall S, Lyon RP, Olsen S. Internal urethrotomy with hydraulic urethral dilatations. J Urol. 1971 Oct;106(4):553–556. [PubMed]

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