Etiology and current clinical characteristics of male urethral stricture disease: experience from a public teaching hospital in Senegal

Fall, B.; Sow, Yaya; Mansouri, Ismael; Sarr, Alioune; Thiam, Amath; Diao, Bo; Fall, Papa Ahmed; Ndoye, Alain Khassim; Bâ, M.; Diagne, B.A.

doi:10.1007/s11255-011-9940-y

Cited by 49 publications

(35 citation statements)

References 11 publications

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“…Guirassy et al [8], Fall B et al [4] reported low rates compared to ours respectively 32.4%; and 42.2%. In Zango et al [7] study, from the 70 patients, 46 (65.7%) were seen with complications including 34 acute urinary retention, 7 penoscrotal fistulas and 5 genital cellulitis.…”

Section: Discussioncontrasting

confidence: 54%

“…[3] and Fall et al [4] reported some prevalence higher than ours, respectively 7% and 6.5%. From this diversity of prevalence we can notice that the stricture of the anterior urethra was one of the causes of hospitalization in urology departments.…”

Section: Discussioncontrasting

confidence: 50%

“…Akpo et al [11] and Fall et al [4] noticed the predominance of infectious causes with respective rates of 54.3% and 63%.…”

Section: Discussionmentioning

confidence: 99%

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Male Anterior Urethral Stricture: Epidemiological Profile and Management at Ouagadougou University Teaching Hospital (Burkina-Faso)

Yameogo¹,

Ouattara²,

Kaboré³

et al. 2017

OJU

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It was a retrospective and descriptive study conducted in the urology division of Yalgado Ouedraogo University Teaching Hospital from October 2009 to September 2014. Sixty three (63) male patients with anterior urethral stricture disease were included. All the patients have their diagnosis confirmed by voiding retrograde cystourethrogram (VCUG) or during surgical intervention. Anterior urethral stricture constitutes 41.1% of all urethral stricture. Hospital prevalence was 4.2%. Patient average age was 50.5 years. Dysuria and urinary retention were the major complaints representing respectively 66.7% and 33.3%. The infectious cause of urethral stricture was 71.1% of cases, followed by iatrogenic and traumatic causes with respectively 17.4% and 11.1% of cases. Voiding retrograde urethrocystogram (VCUG) was the only diagnostic procedure. Single urethral stenosis of the anterior urethra was about 88.8% while multiple stenosis constituted about 11.2%. Bulbar urethral stricture was the major location for the stenosis. Urine analysis was performed on 82.5% patients and ruled out urinary infections in 69.2% of cases with identification and isolation of Escherichia Coli in 77.7%. Majority of patients (61.9%) had open surgery of which 39.7% had end to end resection and anastomosis. Dilatation constituted 33.3% of treatment of the stricture of the anterior urethra. No endoscopic treatment was registered. At the removal of the catheter, all were successful but with time, the success rate was 87% at 6 months, 89.7% at 12 months, 85.2% at 18 months 63.1% at 24 months.

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Section: Discussioncontrasting

confidence: 54%

Section: Discussioncontrasting

confidence: 50%

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Male Anterior Urethral Stricture: Epidemiological Profile and Management at Ouagadougou University Teaching Hospital (Burkina-Faso)

Yameogo¹,

Ouattara²,

Kaboré³

et al. 2017

OJU

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“…in 1999 had reported 55% of dysuria and 38% of urinary retention [11], as Fall and Al. in 2011 [2]. However in 2014, that is to say, three year later, the same author reported 62.7% for urinary retention and 17.3% for dysuria [12].…”

Section: ) Discovery Circumstancesmentioning

confidence: 99%

“…In developed countries, the iatrogenic etiology dominates; while in developing countries, notably in Senegal, infection causes predominate [1] [2].…”

Section: Introductionmentioning

confidence: 99%

Men Urethra Strictures: Findings in Urethroplasties Care at the Andrology and Urology Department of Grand Yoff General Hospital in Dakar

Kouamé¹,

Kramo²,

Roua³

et al. 2017

OJU

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Objectives: To report the experiment conducted at the HOGGY Urology department in the management of urethral stricture by urethroplasty, and to determine the factors that influence the results. Material and Method: We conducted a descriptive and analytical retrospective study based on the records of patients who underwent urethroplasty in the department, between February 2001 and September 2013. Results: Ninety-one (91) patients were enrolled. Urethroplasties prevalence was 0.83% of the surgical activity of the service. The mean age of patients was 39.83 years. Dysuria (30.77%) followed by pelvic trauma (28.57%) and urinary retentions (25.27%) was the main discovery mode. A periurethral coating was found in 32 patients. The infectious etiology accounted for 44% of cases. In 63% of cases, diagnostic was made by retrograde cystography. The penile urethra was the favorite seat of the UR in 70% of cases. The average length of the urethral stricture (US) was less than 1 cm in 41.17% of cases. The US was unique in more than half of the cases (58.33%). Anastomotic urethroplasty was the best surgical technique with 73.63% of patients. Postoperative morbidity involved 47 patients and was dominated by urinary infections (36 year old). The average duration of follow-up of operated patients was 29 months. After 6 months of follow-up, the best results were obtained with the termino-terminal urethroplasty technique with 62.5%. After a follow-up of 4 years, the success rate was 58.24%. The length of the stenosis and the allocation of gestures on the urethra were the two factors of failure. Conclusion: Stenosis is common in our regions. Treatment results are disappointing. Urethroplasty is the gold standard of surgical treatment and anastomotic urethroplasty gives better results.

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Experimental Urethral Infection with Neisseria gonorrhoeae

Waltmann

Duncan

Pier

et al. 2021

Current Topics in Microbiology and Immunology

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Etiology and current clinical characteristics of male urethral stricture disease: experience from a public teaching hospital in Senegal

Cited by 49 publications

References 11 publications

Male Anterior Urethral Stricture: Epidemiological Profile and Management at Ouagadougou University Teaching Hospital (Burkina-Faso)

Male Anterior Urethral Stricture: Epidemiological Profile and Management at Ouagadougou University Teaching Hospital (Burkina-Faso)

Men Urethra Strictures: Findings in Urethroplasties Care at the Andrology and Urology Department of Grand Yoff General Hospital in Dakar

Experimental Urethral Infection with Neisseria gonorrhoeae

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