TITLE:
Iatrogenic Urethral Stenoses: Epidemiological Aspects Clinics and Therapeutic in the Urology Department of the National Hospital of Conakry
AUTHORS:
Demba Cisse, Youssouf Keita, Fode Oumar Keita, Mamadou II Barry, Alimou Diallo, Thierno Mamadou Oury Diallo, Mamadou Diawo Bah, Mamadou Bissiriou Bah, Alpha Oumar Barry, Daouda Kante, Ibrahima Bah, Oumar Raphiou Bah
KEYWORDS:
Stenosis, Urethra, Iatrogenic, Conakry
JOURNAL NAME:
Open Journal of Urology,
Vol.13 No.1,
January
31,
2023
ABSTRACT: The aim is to highlight the epidemiological, clinical and therapeutic aspects of iatrogenic urethral strictures. Methodology: This was a retrospective study, descriptive type, 6 years from January 1st 2012, to December 31st 2017 carried out in the Urology-Andrology department of the National Hospital Ignace Deen of Conakry. All records of patients carrying the Diagnosis of iatrogenic urethral stricture were included in this study. Results: We collected 30 cases of iatrogenic urethral stricture, with a frequency of 2.5%. The average age of the patients was 62.33 years. The most affected age group is from 71 to 80 years (33.33%). Dysuria was the main reason for consultation. Retrograde urethrocystography plus voiding cystourethrography (RUC-VCU) allowed us to make the diagnosis. The treatment was essentially surgical and several techniques were used. Endoscopic internal urethrotomy alone was the most performed surgical technique, followed by segmental uretrectomy associated with end-to-end urethrography. Conclusion: Iatrogenic urethral stricture is easy to diagnose but difficult to manage due to the frequency of recurrences. Improving the quality of care, in particular urethral catheterizations and transurethral endoscopic maneuvers, makes it possible to prevent it.