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

Abstract

Objectivesto report on the etiopathogenic, clinical and therapeutic aspects of iatrogenic urethral stricture (IUS). Patients and Methodsprospective descriptive study gathering 28 patients treated for IUS in a urology department in Senegal from 1st January 2012 to 30 September 2013. Age, place of origin, reasons for consultation, consultation periods, type of urethral maneuver, physical examination, investigations, treatment modalities and Outcomes were analyzed. Resultsmean age was 34, 5±19, 4 years. The majority of patients (89, 5%) had been sent by colleagues practicing in hospital structures without a urology department. The average consultation time was 5, 4±4, 5 months. Dysuria was the most observed complaint. Urethral catheterization was the most common source of IUS (75%) and the Foley catheter latex was the most used (86%). The flow measurements was performed in 4 patients and showed a decrease in maximum urinary flow rate in favor of a urethral stricture. Uretrogram had confirmed urethral stenosis in 22 patients (79%) and the bulbar urethra was the predilection. Urethral dilatation metal candle was therapeutic means most noted. With a follow-up period of 13 months, the therapeutic outcomes assessed on the existence or absence of dysuria was satisfactory. Conclusionthe IUS had a high incidence. Urethral catheterization was the most common source of IUS. Stenosis few stretches of the bulbar urethra were the most numerous and their treatment by dilatation using metal candles gave satisfactory results.