Specific characteristics of urethral strictures in a developing country (Brazil)

Astolfi, Rafael Haddad; Lebani, Bruno Rodrigues; Krebs, Rodrigo K.; Dias-Filho, Aderivaldo C; Bissoli, Julio; Cavalcanti, André G.; Ximenes, S.; Bertolla, Ricardo Pimenta; Geminiani, Julio

doi:10.1007/s00345-019-02696-9

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…The mechanism can be explained by the compression of the pelvic ring, leading to a superior bladder displacement with resulting urethral stretching and disruption at the bulbo-membranous junction (10). In a study by Alwaal et al straddle injury was shown the most common cause (19) while a study from Brazil demonstrated the most traumatic events were secondary to pelvic fracture distraction injuries (62.3%) (10). Trauma remains the most frequent cause (51.76%) of urethral strictures in China.…”

Section: Discussionmentioning

confidence: 99%

“…In these cases, pelvic traumatic serious damages could explain why the ratio of urethral strictures from pelvic fracture urethral distraction injuries(PFUDI) (37.87%) was higher than urethral strictures from perineal straddle injuries (14.32%). In Brazil there was still high rates of PFUDI due to poor traffic conditions like in China (10). So it is essential to make all efforts to provide safer traffic in order to decrease the incidence of these traumatic urethral strictures.…”

Section: Discussionmentioning

confidence: 99%

“…Trauma plays a very important role in the etiology of posterior urethral stricture disease. Different mechanisms of trauma like straddle injuries (4) and pelvic fracture-related urethral injuries were stated as the causes of traumatic posterior urethral strictures (4,10). The mechanism can be explained by the compression of the pelvic ring, leading to a superior bladder displacement with resulting urethral stretching and disruption at the bulbo-membranous junction (10).…”

Section: Discussionmentioning

confidence: 99%

“…Different mechanisms of trauma like straddle injuries (4) and pelvic fracture-related urethral injuries were stated as the causes of traumatic posterior urethral strictures (4,10). The mechanism can be explained by the compression of the pelvic ring, leading to a superior bladder displacement with resulting urethral stretching and disruption at the bulbo-membranous junction (10). In a study by Alwaal et al straddle injury was shown the most common cause (19) while a study from Brazil demonstrated the most traumatic events were secondary to pelvic fracture distraction injuries (62.3%) (10).…”

Section: Discussionmentioning

confidence: 99%

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Etiology of Posterior Urethral Strictures: Analysis of 116 Cases

Yücetürk¹,

Keseroğlu

2020

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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In this study, our aim was to investigate the current etiology of posterior urethral stricture disease in our department and to observe if there have been any differences in the major causes of urethral strictures. MATERIALS AND METHODS:We analysed 116 male patients between March 2009 and September 2019 to evaluate the etiology of posterior urethral strictures. All patients had been assesed preoperatively, including detailed medical history, physical examination, retrograde urethrogram and uroflowmetry. We examined all patients in terms of age, stricture site, the most probable cause of the stricture and stricture length. We classified the location of posterior stricture into three anatomic parts: membranous urethra, prostatic urethra and bladder neck and stricture etiologies were subcategorized into idiopathic, inflammatory, iatrogenic and traumatic. RESULTS:The most common site of the strictures was the membranous urethra (67 patients, 57.8%) followed by the prostatic urethra (27 patients, 23.3%) and bladder neck (22 patients, 18.9%). The two main overall posterior urethral stricture causes were iatrogenic (79 patients, 68.1%) and traumatic (24 patients,20.7%). The less common causes were idiopathic (11 patients,9.5%) and urethritis (2 patients,1.7%). Of the patients in iatrogenic group, TUR-P and TUR-BT were the most common etiologic factors. (42 patients,36.2%) All urethral strictures were short(<2 cm) and treated with endourological surgery.(Optical İnternal Urethrotomy and urethral dilation) CONCLUSION: In our instution, especially iatrogenic causes were the most seen etiologic factor of posterior urethral strictures. These findings suggested us to be more careful during the endoscopic procedure, to use suitable calibered instrumentation and avoid unnecessary urethral interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Etiology of Posterior Urethral Strictures: Analysis of 116 Cases

Yücetürk¹,

Keseroğlu

2020

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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“…La estrechez de la uretra bulbar representa el sitio más frecuente seguido de la estrechez en el meato uretral, la uretra peneana y panuretral. 3,10 Cada uno de los segmentos tiene unas características específicas que hacen que el abordaje quirúrgico sea único en cada uno. 11,12 Recomendaciones 1.…”

Section: Reconstrucción De Uretra Anteriorunclassified