Traitement des sténoses de l’urètre par urétrotomie interne endoscopique: résultats anatomiques et fonctionnels d’une série de 244 cas

Benjelloun, M.C.; Drissi, M.; Makhloufi, M.T.; Nouri, Abdellatif; Karmouni, Tarik; Tazi, K; Elkhader, Khalid; Koutani, Abdellatif; Benatya, A. D.; Hachimi, M

doi:10.1007/s12301-008-0002-3

Cited by 10 publications

(12 citation statements)

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“…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%

“…However, in developed countries, iatrogenic causes are most often due to endoscopic maneuver [7] [8] [9]. In our study, analysis of the characteristics of urethral strictures revealed the following: the strictures were essentially bulbar (81.54%), single (55.79%) and short (68.6%), as in the series by Benjelloun et al in Morocco [4], Hounnasso in Togo [3], Moby in Cameroon [2] and Ndour in Senegal [10]. On the other hand, Zongo et al in Burkina Faso reported a predominance of long and multiple strictures, respectively 69% and 75% [11].…”

Section: Discussionsupporting

confidence: 67%

“…Urethral stricture is a not uncommon pathology in urology and can occur at any age. In our study, the mean age of the patients was 49 years (17 -84 years); in a similar study in Cameroon, 49 patients were recorded and the mean age was 47.6 [2]; in Togo, the mean age of the patients was 44.4 years [3]; in North Africa (Morocco), 244 patients had a mean age of 51 years [4]. The results show that urethral stricture is pathology of the adolescent and young adult.…”

Section: Discussionsupporting

confidence: 57%

“…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. They can be infectious, traumatic and iatrogenic [1] [2] [3] [4]. In our study, the main etiologies were infectious and traumatic.…”

Section: Discussionmentioning

confidence: 87%

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

Patrice¹,

Akassimadou²,

Fatoumata³

et al. 2021

OJU

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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:

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 67%

Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 87%

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

Patrice¹,

Akassimadou²,

Fatoumata³

et al. 2021

OJU

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“…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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Les rétrécissements iatrogènes de l’urètre: expérience d’un hôpital Sénégalais

Ondo

Fall

Diallo³

et al. 2015

African Journal of Urology

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Traitement des sténoses de l’urètre par urétrotomie interne endoscopique: résultats anatomiques et fonctionnels d’une série de 244 cas

Cited by 10 publications

References 2 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

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

Les rétrécissements iatrogènes de l’urètre: expérience d’un hôpital Sénégalais

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