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CIC was performed in 46% of patients, with 31% of this subgroup using intraurethral steroids. 84% of patients avoided invasive surgery or permanent indwelling catheterization, with an improvement in urethral stricture patient-reported outcome measure scores (P=.0013). Those who failed were more likely to have a history of UTI (P=.04), urosepsis (P=.03), AUR (P .001), and more likely to perform CIC (P=.01). Over medium-term follow-up, most patients with LS-USD were safely managed with conservative techniques. Caution is warranted in th