Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal

Fall, B.; Sow, Yaya; Diallo, Yoro; Sarr, Alioune; Ondo, Cyrille Zé; Thiam, Amath; Sikpa, Komi Hola; Diao, Bo; Fall, Papa Ahmed; Ndoye, Alain Khassim; Bâ, M.; Diagne, B.A.

doi:10.1016/j.afju.2014.02.003

Cited by 17 publications

(11 citation statements)

References 24 publications

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“…In fact, the success rate of urethroplasties performed by younger surgeons with fewer than 3 years experience was significantly lower than that of their more experienced M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 7 colleagues (53.7% vs. 81.0%, p=0.02). 19 In light of the literature, some have suggested that urethroplasty procedures should be reserved for surgeons with established postfellowship/clinical experience in reconstructive urological surgery. 20 However, seeking better success rates by referrals to higher-volume or fellowship-trained urologists must be considered within the context of the general underutilization of urethroplasty compared to dilation or urethrotomy.…”

Section: Discussionmentioning

confidence: 99%

Male Urethral, Penile, and Incontinence Surgery: Is Resident Exposure Adequate?

Pak

Silva

Deibert

et al. 2015

Urology

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Section: Discussionmentioning

confidence: 99%

Male Urethral, Penile, and Incontinence Surgery: Is Resident Exposure Adequate?

Pak

Silva

Deibert

et al. 2015

Urology

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“…Of all surgical techniques, end to end anastomosis resection was that used as first line with 73.63% followed by the QUARTEY technique (16.48%) [20].…”

Section: ) Support Timementioning

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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“…Urethral stricture is one of the oldest urological diseases, and its treatment remains a challenge for urologists [1]. Urethral stricture disease affects about 300 per 100 000 men [2].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Anastomotic Urethroplasty: Single-Center Experience

Faruque¹,

Islam²,

Alam³

et al. 2020

Bang J Urology

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Objective: To determine the short term outcome of anastomotic urethroplasty. Material and Methods: From January 2013 to June 2015, 25 male patients underwent anastomotic urethroplasty at our center and were analyzed prospectively. Mean age was 28.1 years (range 13-50), average stricture length was 2.5 cm (range 1.5-2.5). Patients with post-prostatectomy stricture, stricture more than 2.5 cm in length or patients of stricture with neurogenic bladder and patients with any perineal disease were excluded from the study. Retrograde urethrogram and voiding cysto-urethrogram was done in every patient to assess stricture length and location. Stricture excision and end-to-end anastomosis of urethra with spatulation was performed in every patient. Minimum followup period was 6 months and maximum 30 months. All patients had obliterative stricture. Results: The mean operative time was 105 min (range 90-120). Four patients (16%) developed complications postoperatively. Wound infection occurred in 01 (04%) patient. Stricture recurrence found in 02 (08%) patients and erectile dysfunction in 01 (04%) patients. Twenty one patients (84%) had excellent outcome, Two (08%) needed optical internal urethrotomy and of them one (04%) failed to respond. Conclusion: Anastomotic urethroplasty has a high success rate of 92%. It is technically straightforward with minimal morbidity. Long term follow-up is strongly recommended for ultimate success. Bangladesh Journal of Urology, Vol. 19, No. 1, Jan 2016 p.38-42

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Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal

Cited by 17 publications

References 24 publications

Male Urethral, Penile, and Incontinence Surgery: Is Resident Exposure Adequate?

Male Urethral, Penile, and Incontinence Surgery: Is Resident Exposure Adequate?

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

Outcome of Anastomotic Urethroplasty: Single-Center Experience

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