Rétrécissements post-traumatiques de l'urètre au service d'urologie du CHU Ignace Deen : étude retrospective à propos de 74 cas

Guirrassy, S; Simakan, N.F; Balde, Abdoulaye; Sow, K.B; Balde, S; Bah, Ibrahima; Bah, Ousmane Aminata; Diallo, Mamadou Lamine

doi:10.1016/s0003-4401(01)00021-3

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…All the patients with up to 1cm longer stenoses got good results after 6 months of follow-up compared to 85.7% for the urethral strictures of ]1 -2 cm] and 66.6% for US of more than 2cm. however our results remain superior to those of Guirassy et al [6] who reported 81.6% of success for US between 0.5 and 1 cm and only 18.20% of success for US superior to 2.5 cm. from these results it was clear from the diversity of success rates that short US reported more good results than the long US after treatment.…”

Section: Discussioncontrasting

confidence: 94%

“…Fall et al [2] reported a similar prevalence to ours of 6.5%. We DOI: 10.4236/oju.2020.104012 106 Open Journal of Urology [5], and Guirassy et al [6] who had reported an average age of 47.8 years and 51.4 years respectively. Heyns et al [7] in a comparative study had also reported averages of age of 49.9 and 50.9 years.…”

Section: Discussionmentioning

confidence: 99%

“…Apko et al [9] and Fall et al [2] noticed the predominance of infectious causes through respective rates of 54.3% and 63%. However, in the developed countries urethral stenoses are rather of iatrogenic origin [6]. The responsible infections are usually the acute gonococcus urethritis or Chlamydia trachomatis urethritis.…”

Section: Discussionmentioning

confidence: 99%

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Male Urethral Strictures in Ouagadougou (Burkina Faso): Epidemiological Diagnostic and Therapeutic Aspects

Yameogo¹,

Mahamat²,

Kirakoya³

et al. 2020

OJU

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Purpose: To conduct a study of epidemiological, diagnostic and therapeutic aspects of urethral strictures at Yalgado Ouedraogo University Teaching Hospital. Patients and methods: It was about a retrospective and descriptive study conducted in the urology division of Yalgado Ouedraogo Hospital from October 1 st 2009 to September 30 th 2014. All the patients, included in this study, had a urethral stricture confirmed by the voiding retrograde cystourethrogram (VCUG) or during surgical intervention with useful surgical report and medical file. Results: During the period of study, 127 complete medical records were found. The hospital prevalence was 10.1%. The average age of the patients was 50.5 (from 3 to 80 years). 55.6% of the patients were from rural areas. Dysuria and urinary retention were the major causes of consultation with respectively 66.7% and 33.3%. The aetiology of urethral stricture was infectious in 71.4% of the cases. The VCUG permitted to objectify the characteristics of the stenosis. The urethral stenoses were single in the majority of the cases, about 88.8% of cases. The bulbar urethral stricture was the major location. Escherichia coli was isolated in 77.7% of the urinary infections. The majority of patients (61.9%) had undergone open surgery including 39.7% end to end anastomosis. No endoscopic treatment was recorded. Conclusion: The urethral stenosis is frequent in our division. Its major aetiology is infectious. The treatment is dominated by open surgery in our context.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Male Urethral Strictures in Ouagadougou (Burkina Faso): Epidemiological Diagnostic and Therapeutic Aspects

Yameogo¹,

Mahamat²,

Kirakoya³

et al. 2020

OJU

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“…The most frequent mechanism of occurrence was road traffic accidents with a proportion of 60%. The same observation was made by Bobo et al [18], Owon'Abessolo et al [19] and Guirrassy et al [20].…”

Section: Urethral Traumasupporting

confidence: 84%

Urogenital Trauma: Epidemiological and Diagnostic Aspects at the Borgou University and Departmental Hospital Center (Benin)

Sambo¹,

Hodonou²,

Hadonou³

et al. 2022

OJU

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Objective: To study the epidemiological and diagnostic aspects of urogenital trauma at the Borgou University and Departmental Hospital Center. Material and Methods: This was a descriptive cross-sectional study that took place over a period of 4 years and 4 months (52 months) from January 1 st 2017 to April 30 th 2021. All cases of urogenital trauma treated in the General surgery department during the period were collected. Patient records, hospitalization registers and operating reports were used to collect information. Data entry was done using Epi data 3.1 software, French version. The analysis was performed using MedCalc software (version 19.4.1. Mariakerke, Belgium), and Epi info software version 7. Results: In 52 months, 75 cases of urogenital trauma were collected. The prevalence of urogenital trauma was 1.1% of admissions with an annual incidence of 17.3 cases. The modal age class was [20; 40], i.e. 49.3%. Males accounted for 76.0% (n = 57) of cases. Urethral and kidney injuries were found in 33.3% and 21.3%, respectively. The external genitalia was involved in 24.0%. Road traffic accidents occupied the first place with 62.6%. Kidney lesions were revealed by lumbar pain in 62.5% (n = 10) and post traumatic hematuria in 25% (n = 4) of cases. Most of the patients (n = 8, i.e. 50%) were classified as grade I according to the AAST classification.Conclusion: Urogenital trauma is common in our environment and can be life-threatening. Knowledge of their epidemiology will allow for prevention and good management.

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Iatrogenic Urethral Stenoses: Epidemiological Aspects Clinics and Therapeutic in the Urology Department of the National Hospital of Conakry

Cissé¹,

Keita²,

Keita³

et al. 2023

OJU

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The aim is to highlight the epidemiological, clinical and therapeutic aspects of iatrogenic urethral strictures. Methodology: This was a retrospective study, descriptive type, 6 years from January 1 st 2012, to December 31 st 2017 carried out in the Urology-Andrology department of the National Hospital Ignace Deen of Conakry. All records of patients carrying the Diagnosis of iatrogenic urethral stricture were included in this study. Results: We collected 30 cases of iatrogenic urethral stricture, with a frequency of 2.5%. The average age of the patients was 62.33 years. The most affected age group is from 71 to 80 years (33.33%). Dysuria was the main reason for consultation. Retrograde urethrocystography plus voiding cystourethrography (RUC-VCU) allowed us to make the diagnosis. The treatment was essentially surgical and several techniques were used. Endoscopic internal urethrotomy alone was the most performed surgical technique, followed by segmental uretrectomy associated with end-to-end urethrography. Conclusion: Iatrogenic urethral stricture is easy to diagnose but difficult to manage due to the frequency of recurrences. Improving the quality of care, in particular urethral catheterizations and transurethral endoscopic maneuvers, makes it possible to prevent it.

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Rétrécissements post-traumatiques de l'urètre au service d'urologie du CHU Ignace Deen : étude retrospective à propos de 74 cas

Cited by 3 publications

References 2 publications

Male Urethral Strictures in Ouagadougou (Burkina Faso): Epidemiological Diagnostic and Therapeutic Aspects

Male Urethral Strictures in Ouagadougou (Burkina Faso): Epidemiological Diagnostic and Therapeutic Aspects

Urogenital Trauma: Epidemiological and Diagnostic Aspects at the Borgou University and Departmental Hospital Center (Benin)

Iatrogenic Urethral Stenoses: Epidemiological Aspects Clinics and Therapeutic in the Urology Department of the National Hospital of Conakry

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