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Material and Methods:
Clean intermitting self dilatation is an effective procedure in the prevention of recurrent
urethral strictures for primary strictures and deep strictures between 0.5-1.5cm length after optical
A total of 146 male patients were included in the study. They were divided into two groups of 73
each on alternate basis. Group A was control group and group B with clean intermitting self dilatation and
were followed upto 8 months. Study results showed a high rate of recurrence in control group A i.e. 42
patients (57.53%) in comparison to self dilatation group B i.e. 26 patients (35.61%).
This comparative study of patients undergoing optical urethrotomy for anterior
urethral stricture was conducted in Surgical Unit Hayatabad Medical Complex, Khyber Medical Centre
and Khyber Teaching Hospital Peshawar from July 2004 to June 2008.
To find out the role of clean intermitting self dilatation (CISD) for the prevention of recurrent
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