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Introduction
Urethral stricture disease (USD) is a common urological problem. The aetiology of strictures has been changing. Different treatment modalities are available.Objectives
To present the pattern and management of USD in Port Harcourt.Subjects and methods
This was a retrospective study of all cases of USD treated in Port Harcourt Teaching Hospital between 2005 and 2015. All the case notes of patients treated for USD were retrieved. Data on demography, aetiology, site, treatment and outcome of treatment of USD were collated and analyzed using SPSS 20.0.Results
Within the period, 194 patients with urethral stricture were treated. There were 188 males (96.9%) and 6 females (3.1%). The mean age was 48 ± 9.24 SD years. One hundred and forty four strictures (74.22%) were due to trauma. Of these, 37 (19.07%) were iatrogenic and 107 (55.15%) resulted from road traffic accidents, fall astride, etc. Forty eight (24.75%) and 2(1.03%) had post inflammatory and malignant urethral strictures respectively.Eighty two patients (42.27%) had anterior urethral stricture; while 78 (40.20%) had posterior urethral strictures. Twenty eight (14.43%) patients had long segment stricture involving both anterior and posterior segments. Twenty four and 71 patients had substitution and anastomotic urethroplasties respectively. One patient had penectomy for malignant stricture while 61 had endoscopic surgery. Twenty two percent had complications including: bleeding, wound infection and re-stricture. The stricture recurrence rate was 11.34%.Conclusion
Trauma is the leading cause of USD in Port Harcourt. Iatrogenic strictures were common. Urethroplasty gives satisfactory outcome. Efforts should be made to reduce urethral injuries. 相似文献2.
目的 了解国内近年男性尿道狭窄的病因与治疗方式的变化状况. 方法 回顾性收集2004年1月至2009年12月国内8个医疗中心收治的3455例男性尿道狭窄患者的资料,分析尿道狭窄的主要病因、治疗方法及随时间变迁病因和治疗技术的变化. 结果 3455例患者的病因分别为:外伤1833例(53.05％),其中骨盆骨折1327例(38.41％),骑跨伤506例(14.65％);医源性1181例(34.18％),其中经尿道手术602例(17.42％),尿道下裂术后291例(8.42％),留置导尿管164例(4.75％);其他较少见的为尿道炎201例(5.82％),硬化性苔藓样病149例(4.31％),原因不明者91例(2.63％)等.2004 - 2006年,腔内技术是治疗尿道狭窄最为常见的方法,共709例(52.67％);而2007 -2009年这种技术应用减少,共726例(34.42％),两者间差异有统计学意义(P＜0.01).2007 - 2009年开放性尿道成形术逐年增多(1243例,58.94％),与2004 - 2006年相比(563例,41.83％)差异有统计学意义(P＜0.01). 结论 外伤和医源性损伤是尿道狭窄的常见原因,近年逐渐增多;尿道狭窄治疗方法主要是腔内微创手术和开放性尿道成形.2007 - 2009年经腔内手术比例显著下降,而开放性尿道成形手术比例显著上升. 相似文献
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W. Krois A.J.M. Dingemans P.X. Hernández M.L. Metzelder J. Craniotis Rios C.A. Reck-Burneo 《Journal of pediatric surgery》2018,53(4):841-846