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Abstract
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 1st 2009 to September 30th 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.
Highlights
The urethral stenosis is a permanent diminution of lumen, or even the complete, more or less extensive obliteration of the canal that hinders the free flow of urine from the bladder outside regardless of its location and aetiology [1]
49 49 12 10 3 2 2 127 can note that the urethral stricture was included in the main reasons of hospitalizations in the urology divisions in Africa
Heyns et al [7] in a comparative study had reported averages of age of 49.9 and 50.9 years. These results confirm that urethral stricture is an affection of the young adult especially in Sub-Saharan Africa where STD and urethritis are frequent in young people
Summary
The urethral stenosis is a permanent diminution of lumen, or even the complete, more or less extensive obliteration of the canal that hinders the free flow of urine from the bladder outside regardless of its location and aetiology [1]. The symptomatology is univocal and is represented by the difficulty in evacuating urine. While infectious forms are declining in developed countries in favour of post-traumatic and iatrogenic forms, this does not seem to be the case in our context, despite the lack of epidemiological studies. This study was conducted in order to take stock of the management of urethral stricture
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