Aspects épidémiologiques, cliniques et prise en charge de sténose urétrale chez l’adulte dans un Hôpital de District de Ngaoundéré, Cameroun

Ngaroua,; Eloundou, N.J.; Djibrilla, Yaouba; Asmaou, Ousmane; Mbo, Amvene J

doi:10.11604/pamj.2017.26.193.9669

Cited by 11 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This finding is similar to that of other authors on the African continent, Ngaroua in Cameroon 70.17% [6], Hounnasso in Togo 48.1% [3], and Benjelloun in Morocco 82% [4]. Dysuria is explained by the fact that urethral stricture is a reduction in the lumen of the urethra resulting in an obstacle to the flow of urine out of the bladder.…”

Section: Discussionsupporting

confidence: 90%

Endoscopic Internal Urethrotomy (EIU) for the Treatment of Ureteral Stenosis: A Review of 233 Cases

Patrice¹,

Akassimadou²,

Fatoumata³

et al. 2021

OJU

View full text Add to dashboard Cite

Background: Urethral stricture is a not uncommon pathology consisting of the narrowing of the urethra lumen with consequent reduction or cessation of urine flow. Objective: The objective is to retrospectively evaluate the results of treatment of urethral strictures by endoscopic internal urethrotomy in a series of 233 cases. Patients and Methods: It is Retrospective and descriptive study of 233 cases of urethral strictures treated by endoscopic internal urethrotomy under visual control in a private facility in Abidjan (Ivory Coast) over the period from 1 December 2007 to 31 December 2017. The study parameters were epidemiological, etiological, characteristics of the narrowing and the outcome of the treatment according to the predictive elements. Results: 233 patients were treated with endoscopic internal urethrotomy (EIU). All patients were male. The mean age of the patients was 49 years with extremes from 17 to 84 years. Dysuria (55.79%) was the most frequent reason for consultation: the etiologies were infectious (51.50%), traumatic (32.18%), and iatrogenic (13.73%) and not found (2.57%). Retrograde urethrocystography with fictional films performed in all patients showed the following characteristics: the stricture was bulbar (81.04%), unique (55.79%) and short in 68.6%. There was a 39.91% good outcome after the first EUS. The average follow-up was 3 years. Mortality was nil and morbidity was assessed at 4.72%. The result was better when the procedure concerned a short (≤3 cm), single stenosis on the posterior urethra. The average duration of the postoperative urinary catheter How to cite this paper:

show abstract

Section: Discussionsupporting

confidence: 90%

Endoscopic Internal Urethrotomy (EIU) for the Treatment of Ureteral Stenosis: A Review of 233 Cases

Patrice¹,

Akassimadou²,

Fatoumata³

et al. 2021

OJU

View full text Add to dashboard Cite

show abstract

“…Over half of all strictures were attributed to sexually transmitted infections in these reviews. 17,18 Geographical differences in stricture etiology have been studied, with trauma and idiopathic causes being predominant in the developing world. 19 Many patients presenting with stricture disease at ZCH are often seen with recurrent or lengthy strictures.…”

Section: Urological Disease In Zomba Malawimentioning

confidence: 99%

The burden of urological disease in Zomba, Malawi: A needs assessment in a sub-Saharan tertiary care center

Juvet

Hayes

Ferrara

et al. 2019

CUAJ

View full text Add to dashboard Cite

Introduction: A large part of the developing world continues to lack access to surgical care. Urology remains one of the least represented surgical subspecialties in global health. To begin understanding the burden of urological illness in sub-Saharan Africa, we sought to characterize all patients presenting to a tertiary care hospital in Malawi with a urological diagnosis or related complaint in the past year. Methods: Retrospective review of the surgical clinic and surgical theater record books at Zomba Central Hospital (ZCH) was performed over a one-year time span. Patients presenting with urological diagnoses or undergoing a urological procedure under local or general anesthetic in the operating theater were identified and entered into a database. Results: A total of 440 clinical patients were reviewed. The most common clinical presentations were for urinary retention (34.7%) and lower urinary tract symptoms (15.5%); 182 surgical cases were reviewed. The most common diagnoses for surgical patients were urethral stricture disease (22%), bladder masses (17%), and benign prostatic hyperplasia (BPH) symptoms (14.8%). Urethral stricture-related procedures, including direct visual internal urethrotomy and urethral dilatation were the most common (14.2% and 7.7%). BPH-related procedures, including simple prostatectomy and transurethral resection of the prostate were the second most common (6.7% and 8.2%). Conclusions: Urethral stricture disease, BPH, and urinary retention represent the clinical diagnoses with the highest burden of visits. Despite these numbers, few definitive procedures are performed annually. Further focus on urological training in sub-Saharan Africa should focus on these conditions and their surgical management.

show abstract

“…In the literature, we find an average age between 25 and 50 years [3]. Ngaroua [4] meanwhile in Cameroon, had found an average age of 52 years. Urethral stricture seems to affect young adults much more.…”

Section: Discussionmentioning

confidence: 72%

Male Urethral Stricture: Epidemiological, Clinical, and Therapeutic Aspects in Kara

Sikpa¹,

Botcho²,

Sewa³

et al. 2023

OJU

View full text Add to dashboard Cite

Background: Urethral stricture is a pathology frequently encountered in urological practice. Management is often surgical, with possible recurrences. What about this pathology in Kara, a semi-urban city? Objective: Assess the management of male urethral stricture in Kara. Patients and Methods: This was a descriptive study with retrospective data collection. The study took place in the urology department of the teaching hospital of Kara, from December 2020 to December 2022. All cases of male urethral stricture, surgically treated at the teaching hospital of Kara, were listed. The inclusion criteria were as follows: any patient who had been treated surgically for male urethral stricture in the urology department of the teaching Hospital of Kara. The operating theater register and hospital records were used to collect the data. The diagnosis of urethral stricture had been made with retrograde urethrogram. A total of 24 patients were treated for male urethral stricture during the study period. The following variables were studied: age, reason for consultation, location, length, and etiology of the stricture; the type of treatment received: optical internal urethrotomy, or anastomotic urethroplasty, and the results. The result was considered good if, after removal of the urethral catheter, the patient regained his micturition without the need for dilatation; the result was considered average if, after removal of the urethral catheter, the patient needed one or more dilatation sessions to regain urination; the result was considered poor if, after removal of the catheter, the patient did not regain good micturition despite the urethral dilatation sessions. Microsoft excel and epi info 7 software were used for data processing. Results: The average age of our patients was 43.7 years ± 10.18 with extremes ranging from 27 to 70 years. The most represented age groups were that of 40 to 50 years, with

show abstract

Aspects épidémiologiques, cliniques et prise en charge de sténose urétrale chez l’adulte dans un Hôpital de District de Ngaoundéré, Cameroun

Cited by 11 publications

References 6 publications

Endoscopic Internal Urethrotomy (EIU) for the Treatment of Ureteral Stenosis: A Review of 233 Cases

Endoscopic Internal Urethrotomy (EIU) for the Treatment of Ureteral Stenosis: A Review of 233 Cases

The burden of urological disease in Zomba, Malawi: A needs assessment in a sub-Saharan tertiary care center

Male Urethral Stricture: Epidemiological, Clinical, and Therapeutic Aspects in Kara

Contact Info

Product

Resources

About