Urethral Stricture and Urethroplasty Practice in a Teaching Hospital in Anambra, South-Eastern Nigeria https://doi.org/10.60787/NMJ-63-6-110
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Keywords
Urethroplasty, Urethral Stricture, 2 Stage, South East, , Young Nigerian Females
Abstract
Background: Management of urethral stricture disease remains a challenge in the field of urology. Though several options exist for its management, urethroplasty has proved to give the best outcome.
Methodology: This is a retrospective study of urethral strictures and urethroplasties for 5years spanning from January 2015 to December 2019 at a tertiary teaching hospital in Anambra, South East Nigeria. Data were retrieved from the case notes of all the urethral strictures cases which presented to our facility in these 5 years and analysed using Microsoft Excel.
Results: A total of 186 patients were diagnosed with urethral stricture disease within the 5 years period. However, only 28 (15.1%) of them had urethroplasty within the period, mostly due to a lack of funds. Of those who had urethroplasty, their ages ranged from 4 – 64 years, with a median of 29.50 years. Motor vehicular road traffic accident (RTA) was the most common (46.43%) aetiology. Excision and anastomosis were the most common type of urethroplasty performed (71.43%), and the most common complication was stricture recurrence (32.14%).
Conclusion: Though urethroplasty techniques have become more refined, accessibility of care continues to hamper treatment in Sub-Saharan Africa due to socioeconomic issues.
References
2.Virasoro R, Jordan GH, McCammon KA. Surgery for benign disorders of the penis and urethra. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, editors. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia:Elsevier; 2021. p. 8207–8373.
3.Hampson LA, McAninch JW, Breyer BN. Male urethral strictures and their management. Nat Rev Urol. 2014; 11:43–50.
4.Santucci RA, Joyce GF, Wise M. Male UrethralStricture Disease. J Urol 2 0 0 7; 177:1667–1674.
5.Yameogo CA, Ouattara A, Kaboré FA, Ky BD, Bougayiri A, Traoré O, et al. Male Anterior Urethral Stricture: Epidemiological Profile and Management at Ouagadougou University Teaching Hospital (Burkina-Faso). Open J Urol. 2017; 7:196–206.
6.Mundy AR, Andrich DE. Urethral strictures.BJU Int. 2011; 107:6–26.
7.McAninch JW. Disorders of Penis and Male Urethra. In: McAninch JW, Lue TF, editors. Smith & Tanagho's General Urology. 18th ed. California: The McGraw-Hill Co; 2013. p. 633–646.
8.Eshiobo, Ernest U. A Review of the epidemiology and management of urethral stricture disease in Sub-Saharan Africa. CurrMed Issues. 2019; 17:118-124.
9.Olajide AO, Olajide FO, Kolawole OA, Oseni I, Ajayi AI. A Retrospective Evaluation of Challenges in Urethral Stricture ManagementMbaeri TU, et al – Urethral Stricture and Urethroplastyin a Tertiary Care Centre of a Poor Resource Community. Nephro Urol Mon. 2013; 5:974- 977.
10.Dakum NK, Ramyil VM, Amu CO. Outcome of urethroplasty for urethral stricture at Jos university teaching hospital. Niger J ClinPract. 2008; 11:300–304.
11.Singh O, Gupta SS, Arvind NK. Anterior Urethral Strictures: A Brief Review of the Current Surgical Treatment. Urol Int.2011; 86:1–10.
12.Ekeke ON, Amusan OE. Clinical presentation and treatment of urethral stricture: Experience from a tertiary hospital in Port Harcourt, Nigeria. African J Urol. 2017; 23:72–77.
13.Nwofor A, Ugezu A. Urethral Stricture Management. Experience at Nnewi, South East Nigeria. African J Urol. 2004; 10:107–111.
14.Obi AO. Short segment bulbar urethral strictures: Review of 48 cases managed in a resource-poor setting. Niger J Clin Pract.2017; 20:1020 - 1026.
15.Oguike T, Onuora V, Obarisiagbon E. The Changing Pattern of Urethral Stricture Disease in Midwestern Nigeria. J Med Biomed Res. 2006; 5:50 - 54.
16.Alabi TO, Jeje EA, Ogunjimi MA, Ojewola RW. Endoscopic management of ureteric stones: Our initial experience. Niger J Surg.2019; 25:26 - 29.
17.Mbaeri TU, Abiahu JA, Obiesie EA, Odo C,Oranusi KC, Nwofor AME, et al. Assessment of Complications of Transurethral Resection of the Prostate Using Clavien-Dindo Classification in South Eastern Nigeria. NigerJ Surg. 2020;26:142 - 146.
18.Van Den Heever AP, Lazarus J, Naudé JH, Wiechers L, Tsheisi M. Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center. African J Urol. 2012; 18:127–130.
19.Igenge J, Musau P, Mteta A. Early Outcome of the Types of Urethroplasty in a Tertiary Centre in Northern Tanzania. Ann African Surg. 2013; 10:32–35.
20.Rourke KF, Jordan GH. Primary urethral reconstruction: the cost minimized approach to the bulbous urethral stricture. J Urol. 2005;173:1206–1210.
21.Goel A, Kumar M, Singh M. Orandi flap for penile urethral stricture: Polishing the gold22. Oranusi CK, Nwofor A, Orakwe J.standard. Can Urol Assoc J. 2015; 9:E160 -Urethroplasty Practices among ReconstructiveE163.Urologists in Nigeria. Niger J Surg.2015;21:146 -150.
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