Management of Meatal Stenosis in Port Harcourt: A Ten-Year Retrospective Study

Francis, Gbobo Isesoma; Abhulimen, Victor

doi:10.4236/oju.2022.128040

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…10,20 The least common stricture were strictures at the urethral meatus which may occur following circumcision in younger boys, or due to Lichen sclerosus (also known as balanitis xerotica obliterans) which is a chronic inflammatory hypomelanotic, lymphocytemediated skin disorder that affects the prepuce, glans and urethra leading to urethral stricture and meatal stenosis. 7,23 Lichen sclerosus is uncommon in African men. 24 Strictures are classified into acquired or idiopathic.…”

Section: Discussionmentioning

confidence: 99%

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Abhulimen

Ofuru²

2022

Int Surg J

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Background: The urethra provides passage for urine in both sexes and additionally for ejaculation in males. Urethral stricture disease (USD), results in the narrowing of the urethra due to spongiofibrosis. Understanding the pathology of this disease is important to treatment. This study aims to evaluate the aetiology, pathology and pathogenesis of USD at the University of Port Harcourt Teaching Hospital.Methods: This was a 6-year retrospective study conducted on all patients with features of USD who presented to the University of Port Harcourt Teaching Hospital UPTH. Ethical approval was sought and obtained from the hospital’s ethical committee. Data were obtained from ward admission, theatre, and discharge records. The information gotten included the age of the patient, aetiologic agent, site of stricture, number of strictures, length of stricture and complications present at the presentation. The data retrieved was analysed and categorical data were presented in the form of frequencies and percentages using tables. Continuous variables were presented as means and standard deviation. Results were presented in tables and charts.Results: The mean age from this study was 44.1±16.7 years. The commonest site of USD was bulbar with 74 (67.27%) patients. The commonest cause of urethral stricture was iatrogenic (41 patients).Conclusions: Strictures are commonest amongst middle-aged men. The commonest site of urethral stricture disease is the bulbar region because of its unique anatomy. Iatrogenic strictures are the commonest cause of urethra stricture disease.

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Section: Discussionmentioning

confidence: 99%

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Abhulimen

Ofuru²

2022

Int Surg J

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“…Circumcision is carried out for religious reasons, hygienic reasons, control of Human Immunodeficiency Virus (HIV), recurrent urinary tract infection, recurrent balanitis, phimosis, paraphimosis and prevention of penile cancers. 8 Circumcision is considered relatively safe. However, circumcision is associated with some complications and Fournier's gangrene is one of them.…”

Section: Introductionmentioning

confidence: 99%

Fournier’s Gangrene Post Circumcision in a Tertiary Hospital in Southern Nigeria

Abhulimen¹,

Francis²

2022

EJHS

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Purpose: Fournier’s gangrene is a rapidly progressing necrotizing fasciitis. It is a true urological emergency. It is a relatively rare condition. The aim was to highlight the presentation and management of Fournier’s gangrene following circumcision. Methodology: This was a retrospective study. Eight patients who presented with features of Fournier’s gangrene post circumcision between January 2012 and December 2021 to University of Port Harcourt Teaching Hospital UPTH were included in the study. A questionnaire was used to obtain data from all patients listed in the medical records department as having been treated for Fournier’s gangrene during the study period. Data collected include age at presentation, level of education of mother, duration of symptoms before presentation, who carried out the circumcision, where the circumcision was carried out, number of debridement carried out and complications. The data was entered using Microsoft Excel 2016 version and transferred into the statistical package for social sciences (SPSS) for windows (version 20) (IBM SPSS Inc. Chicago, IL) for analysis. Categorical data was presented in the form of frequencies and percentages using tables. Continuous variables were presented in means and standard deviation. Results were presented in tables and charts. Findings: A total of eight patients had FG following circumcision. The median age was 14days and range was from 10 days to 10years. The parents of most patients (87.5%) presented with no formal education or primary level of education. Most patients (62.5%) presented 4 to 6 days after onset of symptoms. Five out of 8 had their circumcision by a traditional attendant. Three patients had complications. One patient died. Circumcision can be a predisposing factor to FG especially if it is carried out at home, and by untrained personnel. Early presentation and management gives the best outcome. Recommendation: Only trained personnel should carry out circumcision. When parents or caregivers notice any unusual change post circumcision, they should present immediately to the hospital.

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Management of Meatal Stenosis in Port Harcourt: A Ten-Year Retrospective Study

Cited by 2 publications

References 23 publications

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Fournier’s Gangrene Post Circumcision in a Tertiary Hospital in Southern Nigeria

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