Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal
Objectives: To report our experience with urethroplasties due to male urethral stricture disease and to identify factors affecting the results. Patients and Methods: Between January 2007 and December 2010, 75 urethroplasties performed due to male urethral stricture were prospectively collected. Resu...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2014-06-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110570414000150 |
| _version_ | 1811222055762264064 |
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| author | B. Fall Y. Sow Y. Diallo A. Sarr C. Ze ondo A. Thiam K.H. Sikpa B. Diao P.A. Fall A.K. Ndoye M. Ba B.A. Diagne |
| author_facet | B. Fall Y. Sow Y. Diallo A. Sarr C. Ze ondo A. Thiam K.H. Sikpa B. Diao P.A. Fall A.K. Ndoye M. Ba B.A. Diagne |
| author_sort | B. Fall |
| collection | DOAJ |
| description | Objectives: To report our experience with urethroplasties due to male urethral stricture disease and to identify factors affecting the results.
Patients and Methods: Between January 2007 and December 2010, 75 urethroplasties performed due to male urethral stricture were prospectively collected.
Results: The mean age of patients was 52.6 years (median: 56 years) for urethroplasties by substitution and 47.3 years (median: 47.5 years) for anastomotic urethroplasties. The most common localization of urethral stricture was the bulbar urethra (63.3%). The length of the stricture averaged 1.95 ± 0.72 cm (median 2 cm) in anastomotic urethroplasties and 4.40 ± 1.54 cm (median 4 cm) in urethroplasties by substitution. The success rate was 69.8% (37/53) for anastomotic urethroplasties, 23.1% (3/13) for urethroplasties using Quartey's technique, 25% (1/4) for Blandy's urethroplasties. The success rate was 81% (17/21) in patients operated on by experienced surgeons, and 53.7% (29/54) in those operated on by young surgeons (p = 0.02). The success of urethroplasty was more frequent for urethral strictures between 1 and 5 cm (46/69) than in those greater than 5 cm (0/6) (p < 0.05), when the diagnosis of stricture was done within the phase of dysuria (11/13) than when it was done during the phase of progressive complications of the urethral stricture (35/62) (p < 0.05).
Conclusions: In our hands, the results of anastomotic urethroplasty were better, while those of substituting urethroplasties were disappointing. These results are explained by the complexity of the strictures and the limited experience in urethral reconstruction of most surgeons. |
| first_indexed | 2024-04-12T08:10:06Z |
| format | Article |
| id | doaj.art-58f841fd6d7340d6bc25f65e44f3723f |
| institution | Directory Open Access Journal |
| issn | 1110-5704 |
| language | English |
| last_indexed | 2024-04-12T08:10:06Z |
| publishDate | 2014-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-58f841fd6d7340d6bc25f65e44f3723f2022-12-22T03:41:01ZengSpringerOpenAfrican Journal of Urology1110-57042014-06-01202768110.1016/j.afju.2014.02.003Urethroplasty for male urethral strictures: Experience from a national teaching hospital in SenegalB. FallY. SowY. DialloA. SarrC. Ze ondoA. ThiamK.H. SikpaB. DiaoP.A. FallA.K. NdoyeM. BaB.A. DiagneObjectives: To report our experience with urethroplasties due to male urethral stricture disease and to identify factors affecting the results. Patients and Methods: Between January 2007 and December 2010, 75 urethroplasties performed due to male urethral stricture were prospectively collected. Results: The mean age of patients was 52.6 years (median: 56 years) for urethroplasties by substitution and 47.3 years (median: 47.5 years) for anastomotic urethroplasties. The most common localization of urethral stricture was the bulbar urethra (63.3%). The length of the stricture averaged 1.95 ± 0.72 cm (median 2 cm) in anastomotic urethroplasties and 4.40 ± 1.54 cm (median 4 cm) in urethroplasties by substitution. The success rate was 69.8% (37/53) for anastomotic urethroplasties, 23.1% (3/13) for urethroplasties using Quartey's technique, 25% (1/4) for Blandy's urethroplasties. The success rate was 81% (17/21) in patients operated on by experienced surgeons, and 53.7% (29/54) in those operated on by young surgeons (p = 0.02). The success of urethroplasty was more frequent for urethral strictures between 1 and 5 cm (46/69) than in those greater than 5 cm (0/6) (p < 0.05), when the diagnosis of stricture was done within the phase of dysuria (11/13) than when it was done during the phase of progressive complications of the urethral stricture (35/62) (p < 0.05). Conclusions: In our hands, the results of anastomotic urethroplasty were better, while those of substituting urethroplasties were disappointing. These results are explained by the complexity of the strictures and the limited experience in urethral reconstruction of most surgeons.http://www.sciencedirect.com/science/article/pii/S1110570414000150Male urethral stricture diseaseUrethroplastyTeaching hospitalSenegal |
| spellingShingle | B. Fall Y. Sow Y. Diallo A. Sarr C. Ze ondo A. Thiam K.H. Sikpa B. Diao P.A. Fall A.K. Ndoye M. Ba B.A. Diagne Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal African Journal of Urology Male urethral stricture disease Urethroplasty Teaching hospital Senegal |
| title | Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal |
| title_full | Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal |
| title_fullStr | Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal |
| title_full_unstemmed | Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal |
| title_short | Urethroplasty for male urethral strictures: Experience from a national teaching hospital in Senegal |
| title_sort | urethroplasty for male urethral strictures experience from a national teaching hospital in senegal |
| topic | Male urethral stricture disease Urethroplasty Teaching hospital Senegal |
| url | http://www.sciencedirect.com/science/article/pii/S1110570414000150 |
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