Urethral Stricture Etiology Revisited: An Indian Scenario (original) (raw)
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Review on management of urethral stricture disease at tertiary care centre
MVP Journal of Medical Sciences
Introduction: Urethral stricture disease remains a common cause of morbidity among men. Many questions about the etiology of urethral stricture disease remain unanswered till now. This study was done in a tertiary care center along with a review of the literature to evaluate the etiology of urethral strictures and to determine the factors that may influence possible preventive or curative strategies. Materials and Methods: Data collected from Patients visiting the OPD &/or admitted in the IPD for urethral stricture during the August 2015 to December 2017 this period at tertiary care centre with the help of relevant history, clinical examination, appropriate investigation including and treatment which includes medical and surgical intervention. Results: In study iatrogenic (40%) was main etiological factor for which H/O catheterization was main contributory factor for about 41% among iatrogenic cause. Direct visual internal urethrotomy was common surgical procedure performed with success rate (58%). Anastomotic urethroplasty was associated with success rate of 87.5%. Conclusion: Avoiding unnecessary urethral catheterization and repeated urethral instrumentation can reduce these iatrogenic strictures. Contrast urethrogram was the most common imaging modalities followed by Urethroscopy. Anastomotic urethroplasty had higher success rate as compared to DVIU and Urethral dilatation. 1. To determine the causes, modes of presentation and investigations carried out for diagnosis of urethral strictures.
Current Clinical Spectrum and Management of Stricture Disease of Urethra: A Prospective Study
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2017
Introduction: Stricture disease of urethra is widely prevalent throughout the world. However aetiology and management varies among different regions. Study of recent trend would help in better understanding of the disease. Aim: To highlight the current clinical scenario and compare outcome of various treatment modalities for urethral stricture.
Epidemiology of urethral strictures
Urethral stricture disease is relatively common and is associated with a significant financial cost and potentially debilitating outcomes. Understanding urethral stricture epidemiology is important to identify risk factors associated with the etiology or progression of the disease. This understanding may lead to better treatments and preventative measures that could ameliorate disease severity, produce better health outcomes, and reduce expenditures. We performed a comprehensive review of urethral stricture disease based on available published case series, identified gaps in knowledge of this disease, and recommend future directions for research.
IOSR Journals , 2019
A stricture is an abnormal constriction or loss of distensibility of urethral channel. Any process that damages the urethral epithelium or its adjacent tissue to the point that the healing result in scar formation can cause an urethral stricture. The patient with history suggestive of urethral stricture were investigated and included in this study. Urethral stricture disease was thoroughly evaluated with radiographic and/or endoscopic techniques. The procedure selection was discussed thoroughly with the patients. Risks and benefits of the procedure were explained to each patient. Open urethroplasty is regarded as the gold standard treatment for urethral strictures. Although it is not routinely done, recent literature shows that urethroplasty can also be considered a “minimally” invasive technique and is more effective than internal urethrotomy
Case Report On Urethral stricture
The Journal of RURAL NURSING
This clinical guideline’s goal is to establish a foundation for detecting and treating male urethral stricture. Resources and procedures: Pubmed, Embase, and Cochrane are three databases that can be used to find information.were searched for peerreviewed literature related urethral stricture: a guide to diagnosis and treatment (search dates 1/1/1990 to 12/1/15). The review produced a data collection of 250 papers after applying inclusion/exclusion criteria. The Guideline statements were based on these publications. Patients’ benefits and risks/burdens were used to produce Strong, Moderate, or Conditional Recommendations When there was inadequate evidence, additional guidance was given Clinical Principles and Expert Opinion are two types of evidence that can be found in the literature. Systems and Important clinical Finding : urination difficulties, straining, or pain, inadequate bladder emptying, pee stream sprayed, need to urinate more frequently or have a stronger urge to urinate....
Anterior urethral strictures: Etiology and characteristics
Urology, 2005
Objectives. To evaluate the etiology and characteristics of symptomatic anterior urethral strictures in a large series of men presenting for urologic treatment in an effort to determine the common themes that may influence possible prevention or treatment strategies. Many questions about the origin and features of contemporary anterior urethral stricture disease remain unanswered. Methods. The records of 175 men with symptomatic anterior urethral strictures were reviewed. Data were entered both prospectively by careful patient questioning and retrospectively from detailed chart review. The stricture length, location, and cause were recorded from urologic presentation, before definitive treatment. Posterior strictures from pelvic fracture urethral disruption defects were excluded from this review. Results. A total of 194 strictures were identified in 175 men. Most strictures were idiopathic (65 of 194, 34%) or iatrogenic (63 of 194, 32%); fewer were inflammatory (38 of 194, 20%) or traumatic (28 of 194, 14%). Most involved the bulbar urethra (n ϭ 100, 52%). Pendulous strictures (mean 6.1 cm) were longer on average than those in the fossa navicularis (mean 2.6 cm) or bulb (mean 3.1 cm). Prolonged catheterization (n ϭ 26) and transurethral surgery (n ϭ 25) were common causes of iatrogenic strictures.
Aetiology of Urethral Strictures at Moi Teaching and Refferal Hospital
The Annals of African Surgery, 2013
Introduction Urethral stricture disease is still a major cause of morbidity and lifelong disability in third world countries. We reviewed the records of patients at MTRH to determine the aetiology of urethral strictures. Methods and Materials A retrospective review of patients' records from 2003 to 2007, was carried out. Variables of interest included age, gender, and aetiology of urethral strictures. Results There were 143 patients out of which 112 had complete data that could be analyzed. Fifty one percent of urethral strictures were due to urethritis, 47% were due to trauma and 1.8% due to rare causes like urethral diverticulum and urethral carcinoma. Accidental trauma caused urethral strictures among younger people 27.7+/-14.3 years while strictures due to urethritis were commoner among middle aged patients 45.6+/-16.3 years. Conclusion Urethritis, iatrogenic and accidental trauma are still the commonest causes of urethral strictures in our environment. These causes are preventable.
Outcome of urethroplasty for urethral stricture at Jos Universitry Teaching Hospital
2008
The treatment of urethral stricture disease has remained a challenge over the years. The outcome has also been varied, with recurrent stricture being a major concern. We determined the outcome of urethroplasty with particular reference to the complications. This was a retrospective study over 10 years (1995 to 2005) done at the Jos University Teaching Hospital, a tertiary health institution in the middle belt region of Nigeria. There were a total of 32 patients whose ages ranged from 0.06 to 75 years (mean 25 yrs, SD 18.8 yrs,). Eleven patients had had one form of stricture treatment or the other. Stricture aetiology was traumatic in 21 (66%) and inflammatory in 6 (19%) patients. Of the 24 patients in whom the stricture length at operation was specified, six, 11 and seven were <2 cm, 2-4 cm and >4 cm respectively. The stricture was located in the anterior urethra in 18 (58.1%), posterior urethra in 2 (6.4%) and bulbomembranous in 11 (35.5%) of patients (unspecified in one). Th...