Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years
Abstract Objective To determine the rate and the distribution of the structural defects in the urinary bladder complicating urethral stricture in men, and to compare the complications observed in the younger patients to those observed in the older patients. Methods Retrospectively, case files of pat...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | BMC Medical Imaging |
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| Online Access: | http://link.springer.com/article/10.1186/s12880-019-0384-7 |
| _version_ | 1818205709963100160 |
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| author | Ikenna I. Nnabugwu Augustine C. Onuh Solomon K. Anyimba Samuel O. Mgbor |
| author_facet | Ikenna I. Nnabugwu Augustine C. Onuh Solomon K. Anyimba Samuel O. Mgbor |
| author_sort | Ikenna I. Nnabugwu |
| collection | DOAJ |
| description | Abstract Objective To determine the rate and the distribution of the structural defects in the urinary bladder complicating urethral stricture in men, and to compare the complications observed in the younger patients to those observed in the older patients. Methods Retrospectively, case files of patients diagnosed of urethral stricture using retrograde urethrogram (RUG) and voiding cysto-urethrogram (VCUG) from February 2009 to August 2018 were analyzed. Stricture characteristics were outlined. In addition, complicating structural defects in the lower urinary tract proximal to the stricture site were documented. The complicating defects identified in the patients were segregated according to age for any observable associations. Logistic regression analysis was used to define the nature of the association of patient age, stricture site, number and length, with distribution of complicating structural defects. Analyses were done using SPSS® version 20. Results Within the 10-year review period, 257 of 421 suspected cases of urethral stricture were confirmed. Patients are between 1 and 104 years of age (mean: 50.1 ± 19.1 years; median: 51.0 years IQR 35.0–65.0). Bulbar (34.2%); short segment (62.6%); partial (73.9%) strictures are prevalent. Forty-seven (18.3%) of 257 patients presented with 1 or more complications. Bladder diverticulum (8.6%) and urethra-cutaneous fistula (6.6%) are prevalent complications. The distribution of complications does not vary with age, or with stricture characteristics. Conclusion Presentation with complications is not uncommon. The distribution of these complications does not vary with age or with stricture characteristics. |
| first_indexed | 2024-12-12T04:01:27Z |
| format | Article |
| id | doaj.art-9d0f504cbfe14fcfb5872f10d1a26448 |
| institution | Directory Open Access Journal |
| issn | 1471-2342 |
| language | English |
| last_indexed | 2024-12-12T04:01:27Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Imaging |
| spelling | doaj.art-9d0f504cbfe14fcfb5872f10d1a264482022-12-22T00:39:02ZengBMCBMC Medical Imaging1471-23422019-10-011911610.1186/s12880-019-0384-7Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 yearsIkenna I. Nnabugwu0Augustine C. Onuh1Solomon K. Anyimba2Samuel O. Mgbor3Department of Surgery, College of Medicine, University of Nigeria Ituku-OzallaDepartment of Radiology, University of Nigeria Teaching Hospital Ituku-OzallaDepartment of Surgery, University of Nigeria Teaching Hospital Ituku-OzallaHansa Diagnostic ClinicAbstract Objective To determine the rate and the distribution of the structural defects in the urinary bladder complicating urethral stricture in men, and to compare the complications observed in the younger patients to those observed in the older patients. Methods Retrospectively, case files of patients diagnosed of urethral stricture using retrograde urethrogram (RUG) and voiding cysto-urethrogram (VCUG) from February 2009 to August 2018 were analyzed. Stricture characteristics were outlined. In addition, complicating structural defects in the lower urinary tract proximal to the stricture site were documented. The complicating defects identified in the patients were segregated according to age for any observable associations. Logistic regression analysis was used to define the nature of the association of patient age, stricture site, number and length, with distribution of complicating structural defects. Analyses were done using SPSS® version 20. Results Within the 10-year review period, 257 of 421 suspected cases of urethral stricture were confirmed. Patients are between 1 and 104 years of age (mean: 50.1 ± 19.1 years; median: 51.0 years IQR 35.0–65.0). Bulbar (34.2%); short segment (62.6%); partial (73.9%) strictures are prevalent. Forty-seven (18.3%) of 257 patients presented with 1 or more complications. Bladder diverticulum (8.6%) and urethra-cutaneous fistula (6.6%) are prevalent complications. The distribution of complications does not vary with age, or with stricture characteristics. Conclusion Presentation with complications is not uncommon. The distribution of these complications does not vary with age or with stricture characteristics.http://link.springer.com/article/10.1186/s12880-019-0384-7Urethral strictureComplicationsLate presentationAgeUrethrogram |
| spellingShingle | Ikenna I. Nnabugwu Augustine C. Onuh Solomon K. Anyimba Samuel O. Mgbor Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years BMC Medical Imaging Urethral stricture Complications Late presentation Age Urethrogram |
| title | Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years |
| title_full | Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years |
| title_fullStr | Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years |
| title_full_unstemmed | Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years |
| title_short | Comparing complications of urethral stricture across various ages: a retrospective analysis of findings from retrograde urethrogram and voiding cysto-urethrogram over 10 years |
| title_sort | comparing complications of urethral stricture across various ages a retrospective analysis of findings from retrograde urethrogram and voiding cysto urethrogram over 10 years |
| topic | Urethral stricture Complications Late presentation Age Urethrogram |
| url | http://link.springer.com/article/10.1186/s12880-019-0384-7 |
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