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.
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.
Auteur(s) : 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
Pages : 76-81
Année de publication : 2014
Revue : African Journal of Urology
N° de volume : 20
Type : Article
Statut Editorial : paru
Mise en ligne par : SOW Yaya