Male Urethral Strictures in Ouagadougou (Burkina Faso): Epidemiological Diagnostic and Therapeutic Aspects

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 1 st 2009 to September 30 th 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.

Impact of a clinical care pathway developed through the action research method on the psychological well-being and quality of life in male patients with urethral stricture

“…The incidence of urethral stenosis shows an increasing trend along with the increase in age; according to statistics, the incidence rate of adult males ranges from 2.2% to 9.8%, and the incidence rate of males older than 65 is even higher. [2] Surgery has become an important treatment modality for urethral stricture, and the most commonly used surgical procedures include transurethral prostatectomy, transurethral resection of the prostate, and open prostatectomy, of which transurethral resection of the prostate is still the gold standard for the treatment of urethral stricture. [3] Urethral stenosis can cause urinary difficulties, urinary retention, and penile erection disorders.…”

“…The incidence of urethral stenosis shows an increasing trend along with the increase in age; according to statistics, the incidence rate of adult males ranges from 2.2% to 9.8%, and the incidence rate of males older than 65 is even higher. [2]…”