The Changing Pattern of Urethral Stricture Disease in Midwestern Nigeria

Oguike, T C; Onuora, V. C.; Obarisiagbon, EO

doi:10.4314/jmbr.v5i2.10691

Cited by 7 publications

(8 citation statements)

References 6 publications

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“…In this study, postinfective strictures were still more common in variance with what is obtainable in other parts of Nigeria [10]. This may be due to higher urbanization in those parts of the country leading to more automobile accidents and other forms of trauma.…”

Section: Discussionmentioning

confidence: 72%

One-Stage Urethroplasty for Strictures in Maiduguri, North Eastern Nigeria

et al. 2012

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Background. Urethral stricture is a frequent cause of lower urinary tract obstruction worldwide. The aim of this study is to present our experience with one-stage urethroplasty. Methods. All males that underwent one-stage urethroplasty between January 2001 and December 2010 were retrospectively reviewed. Details of their biodata, clinical presentation, diagnostic investigations, operative treatment, postoperative complications, and other outcome of surgery were extracted and analyzed. Results. Ninety-one patients aged 8–76 years, (mean; 45.6 ± 19.7) with urethral stricture were studied. Postinfective strictures accounted for 58.2% and postprostatectomy strictures for 3.3%. Twenty-six (27.9%) of the strictures were in the posterior urethra of which 18 (59.2%) were posttraumatic. Fifty-seven strictures (61.3%) were in the anterior urethra of which 51 (54.8%) were postinfective. Thirty-nine (42.9%) patients had end to end anastomosis, 29 (31.9%) flap augmentation and 17 (18.7%) tabularized flap substitution, and 6 (6.6%) dorsal onlay grafts (5 with buccal mucosa and 1 with penile skin). There were 18 (19.8%) cases of wound infection, 12 (13.2%) of restricture and 6 (6.6%) cases of urethrocutaneous fistula. Satisfactory urinary stream was found in 77 (84.6%) patients. There was no mortality. Conclusion. Infection is the commonest cause of urethral stricture followed by trauma, and one-stage urethroplasty give excellent results.

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Section: Discussionmentioning

confidence: 72%

One-Stage Urethroplasty for Strictures in Maiduguri, North Eastern Nigeria

et al. 2012

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“…External trauma has also been on the increase because of good road networks that follow rural development. Good roads encourage over-speeding by drivers which can lead to severe road traffic accident (RTA) with pelvic injuries [15]. The vehicle drivers in this setting also ignore traffic rules and regulations which may results in fatal RTA with injuries that may involve the urethra.…”

Section: Discussionmentioning

confidence: 99%

Is Post-Inflammatory Urethral Stricture Commoner Than Post-Traumatic Urethral Stricture? A Study in South-South Nigerian Hospital

Udoh¹

2016

SJAMS

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Urethral stricture is a narrowing of the urethra due to scarring process. It can be caused by a pre-existing inflammatory process, traumatic condition to the urethral or idiopathic where the cause is unknown. Historically, both in the developed and developing countries post-inflammatory stricture disease dominated over post traumatic causes, however, about few decades ago the trend changed. While the picture remained the same in developing countries it is a reverse in the developed countries where post-traumatic causes topped the list. In our study also, urethral stricture of post-inflammatory origin was seen to be commoner than post-traumatic causes. A retrospective study of all patients seen in our facility with symptoms of bladder outlet obstruction and diagnosed with urethral stricture between January 2014 to December 2014. Eighteen patients were sorted out and used for the study. Biomedical data, clinical features and methods of diagnosis were retrieved and analyzed. Patient's age ranged from 19-93 years with a mean of 50.17+ 17.618 years. Post-inflammatory group were 10 patients (55.6%) while post-traumatic group were 7 patients (38.9%) and one patient had idiopathic stricture representing 5.6%. Mean age at diagnosis per cause were respectively 55.4 + 17.61, 47.14.86 and 19 years for post-inflammatory, post-traumatic and idiopathic causes. Stricture is a major urological condition and frequently leads to bladder outlet obstruction and strong bothersome symptoms to patients. In developing countries such as ours, it is still commonly caused by post-infectious urethritis and other relatively common causes are post-traumatic and idiopathic.

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“…Beard and Goodyear found an incidence of 56.4% in middle age in a series of 211 patients between the ages of 30 and 50. 6 In a series of 100 cases, Webster and colleagues found a mean patient age of 47. 7 Trauma (road and traffic accident and urologic and endourological procedures) constituted 76.66% of cases in our study.…”

Section: Discussionmentioning

confidence: 99%

Is anastomotic urethroplasty is really superior than BMG augmented dorsal onlay urethroplasty in terms of outcomes and patient satisfaction: Our 4-year experience

Choudhary

Jha

2015

CUAJ

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Introduction: We analyzed the outcomes of augmented buccal mucosa graft (BMG) dorsal onlay urethroplasty and anastomotic urethroplasty in the management of urethral stricture. Methods: Patients having a stricture length more than 2 cm were treated by augmented BMG dorsal onlay urethroplasty; patients with a stricture length less than 2 cm were managed by excision and end-to-end anastomotic urethroplasty. The postoperative retrograde urethrogram, micturating cystourethrogram, and uroflowmetry were compared to preoperative values. The postoperative subjective symptoms and complications were recorded and analyzed. Results: In total, 90 patients were included in this study. Forty-five patients had an average stricture length of 5.9 cm; they underwent BMG augmented dorsal onlay urethroplasty. Of these, 7 (15.55%) patients came with recurrence, while 38 (84.44%) were asymptomatic, in the average follow-up period of 32.8 months. The next 45 patients underwent excision of the stricture and end-to-end anastomosis. Of these, 6 (13.33%) failed on therapy and the remaining 39 (86.66%) were asymptomatic during the average follow-up period of 28.4 months. Conclusion:The technique of BMG dorsal onlay is easy to do, it is very reliable, has high success rate, less postoperative complications and better patient satisfaction compared to anastomotic urethroplasty. Our study has its limitations. Recurrent cases of urethroplasty and hypospadias were excluded from this study. Recurrent stricture cases were eliminated to overcome bias. Cases of hypospadias are still best treated by axial or random penile skin flap as BMG augmentation cannot create a long urethral tube. Based on our 4-year experience, we recommend BMG augmented urethroplasty long and short segment stricture of the urethra.

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The Changing Pattern of Urethral Stricture Disease in Midwestern Nigeria

Cited by 7 publications

References 6 publications

One-Stage Urethroplasty for Strictures in Maiduguri, North Eastern Nigeria

One-Stage Urethroplasty for Strictures in Maiduguri, North Eastern Nigeria

Is Post-Inflammatory Urethral Stricture Commoner Than Post-Traumatic Urethral Stricture? A Study in South-South Nigerian Hospital

Is anastomotic urethroplasty is really superior than BMG augmented dorsal onlay urethroplasty in terms of outcomes and patient satisfaction: Our 4-year experience

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