TITLE:
Male Urethral Stricture: Epidemiological, Clinical, and Therapeutic Aspects in Kara
AUTHORS:
Komi Hola Sikpa, Gnimdou Botcho, Edoe Viyome Sewa, Sabi Rachid Sade, Essomindedou Leloua, Messan Semefa Agbedey, Essodina Padja, Kossiwa Rose Assou, Kodjo Tengue, Tchilabalo Matchonna Kpatcha
KEYWORDS:
Male Urethral Stricture, Optical Internal Urethrotomy, Anastomotic Urethroplasty, Kara, Togo
JOURNAL NAME:
Open Journal of Urology,
Vol.13 No.4,
April
19,
2023
ABSTRACT: Background: Urethral stricture is a pathology frequently encountered in urological practice. Management is often surgical, with possible recurrences. What about this pathology in Kara, a semi-urban city? Objective: Assess the management of male urethral stricture in Kara. Patients and Methods: This was a descriptive study with retrospective data collection. The study took place in the urology department of the teaching hospital of Kara, from December 2020 to December 2022. All cases of male urethral stricture, surgically treated at the teaching hospital of Kara, were listed. The inclusion criteria were as follows: any patient who had been treated surgically for male urethral stricture in the urology department of the teaching Hospital of Kara. The operating theater register and hospital records were used to collect the data. The diagnosis of urethral stricture had been made with retrograde urethrogram. A total of 24 patients were treated for male urethral stricture during the study period. The following variables were studied: age, reason for consultation, location, length, and etiology of the stricture; the type of treatment received: optical internal urethrotomy, or anastomotic urethroplasty, and the results. The result was considered good if, after removal of the urethral catheter, the patient regained his micturition without the need for dilatation; the result was considered average if, after removal of the urethral catheter, the patient needed one or more dilatation sessions to regain urination; the result was considered poor if, after removal of the catheter, the patient did not regain good micturition despite the urethral dilatation sessions. Microsoft excel and epi info 7 software were used for data processing. Results: The average age of our patients was 43.7 years ± 10.18 with extremes ranging from 27 to 70 years. The most represented age groups were that of 40 to 50 years, with 37.5% of cases; and that of 30 to 40 years with 33.3% of cases. The patients had consulted for urine retention in 66.6% of cases; the location of urethral stricture was bulbar in 45.8% of cases. The most found etiology was infectious in 58.3% of cases. Among our patients, 58.3% had received optical internal urethrotomy as treatment, while 41.6% of our patients had received anastomotic urethroplasty as treatment. Postoperatively, after removal of the urinary catheter, 87.5% of patients had benefited from one or repeated dilatation. In terms of results, we had a good result in 20.8% of patients; the result was average in 45.8% of patients, and poor in 33.3% of patients. The average duration of follow-up was 14.3 +/- 7.2 months (3-27). Conclusion: Male urethral stricture mainly affects young adults in Kara. Surgical management is done by optical internal urethrotomy and/or anastomotic urethroplasty.