Etiology and current clinical characteristics of male urethral stricture disease: experience from a public teaching hospital in Senegal
To identify the etiology and current
clinical characteristics of male urethral stricture
disease (USD) in Senegal.
Patients and methods A retrospective and monocentric
study over a 10-year period (between January
1999 and December 2008) was carried out and
included all male patients with USD admitted to the
Urology Department of Aristide Le-Dantec Hospital
Results We recorded 414 USD cases. The maximum
annual incidence was observed in 2004, and from then,
the incidence tended to decrease gradually. The mean
age of patients was 43.7 ± 19.6 years (1–89 years),
and 43% of patients were younger than 40 years old.
The mean time from symptoms onset to the consultation
was 20.1 ± 24.9 months (1–120 months). Most
patients (42.2%) were admitted because they suffered
dysuria. In 57.8% of patients, USD was diagnosed with
complications. The most common site of stricture was
at the bulbar urethra (72.7%). The length of the urethral
stricture was smaller than 1 cm in 59.6% of patients,
between 1 and 3 cm in 28.5% and between 3 and 5 cm
in 7.7%. The stricture was longer than 5 cm in eight
patients and was staged (multifocal) in nine patients.
The etiology of urethral stricture was infectious in 63%
of patients, traumatic in 13.7% and iatrogenic in 8.2%.
The etiology was not identified in 14.9% of cases. The
infectious etiology was urethritis in 259 cases and
urogenital schistosomiasis in 12 cases. A study of the
etiology according to stricture site showed that bulbar
USD was infectious in 77.7% of cases and that all
membranous USD cases were traumatic.
Conclusion Male urethral stricture in Senegal is
often a sequela of gonococcal urethritis and is
frequently detected because of infectious complications
such as gangrene of the genitalia or urinary tract
infections. Its prevention in this geographical region
thus requires fighting against sexually transmitted
infections and treating appropriately and effectively
Auteur(s) : Fall B, Sow Y, Mansouri I , Sarr A , Thiam A, Diao B, Fall PA, Ndoye AK, Ba M, Diagne BA.
Pages : 969-974
Année de publication : 2011
Revue : international Urology nephrology
N° de volume : 43
Type : Article
Statut Editorial : publié
Mise en ligne par : SOW Yaya