دورية أكاديمية
أعرض في EDS

One-stage urethroplasty for urethral strictures at the Ladoke Akintola University of Technology Teaching Hospital, Osogbo, south western Nigeria.

التفاصيل البيبلوغرافية
العنوان: One-stage urethroplasty for urethral strictures at the Ladoke Akintola University of Technology Teaching Hospital, Osogbo, south western Nigeria.
المؤلفون: Eziyi AK; Department of Surgery, Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo, Osun, Nigeria., Olajide AO, Etonyeaku AC, Ojewuyi OO, Eziyi JA, Adeyanju T, Adeyemo L
المصدر: World journal of surgery [World J Surg] 2013 Nov; Vol. 37 (11), pp. 2529-33.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2024- : [Hoboken, NJ] : Wiley
Original Publication: New York, Springer International.
مواضيع طبية MeSH: Urethral Stricture/*surgery , Urologic Surgical Procedures/*methods, Adolescent ; Adult ; Aged ; Anastomosis, Surgical ; Child ; Child, Preschool ; Hospitals, Teaching ; Humans ; Infant ; Male ; Middle Aged ; Nigeria ; Retrospective Studies ; Treatment Outcome
مستخلص: Background: Urethral stricture, a common urologic condition, is probably the most common cause of urinary retention in tropical Africa and a frequent cause of lower urinary tract symptoms worldwide. This study aimed at presenting our experience with one-stage urethroplasty at the Ladoke Akintola University of Technology Teaching Hospital Osogbo, Nigeria.
Methods: All male patients who underwent one-stage urethroplasty between December 2005 and December 2011 were studied retrospectively. Details of their presentation and management were reviewed.
Results: A total of 50 patients aged 2-75 years (mean ± SD 44.2 ± 21.53 years) with a urethral stricture underwent one-stage urethroplasty. The modal age group was 61-75 years (26 %). In all, 27 (54 %) patients were >40 years. Strictures following previous urethritis were more common (29, 58 %) than those seen after trauma (21, 42 %). Strictures following trauma were more common in men ≤ 40 years (52.2 %), and 69 % of strictures in men >40 years were infective in origin. Altogether, 88 % of strictures were exclusively found in the anterior urethra. In all, 32 (64 %) patients had bacteriuria at presentation. Strictures ≥ 2 cm with extensive fibrosis were noted in 21 (42 %). Excision of scar tissue was done, followed by end-to-end anastomosis in 32 (64 %), penile pedicle flap in 16 (32 %), and buccal mucosal graft in 2 (4 %) of the patients. Wound infection was the most common complication. Overall, 76 % of patients achieved a urine flow rate of 15 ml/s and postvoid residual urine of ≤ 50 ml.
Conclusions: One-stage urethroplasty offered satisfactory results in the study group. It is recommended for urethral reconstruction in men with urethral stricture.
References: Urology. 2012 Apr;79(4):917-21. (PMID: 22309783)
East Afr Med J. 2007 Jun;84(6):283-6. (PMID: 18254471)
Niger J Clin Pract. 2008 Dec;11(4):300-4. (PMID: 19320398)
Br J Urol. 1997 Dec;80(6):933-6. (PMID: 9439413)
Urol J. 2006 Summer;3(3):160-4. (PMID: 17559033)
BJU Int. 2004 Jun;93(9):1287-90. (PMID: 15180624)
BJU Int. 2008 Sep;102(7):853-60. (PMID: 18485036)
J Urol. 1997 Oct;158(4):1380-2. (PMID: 9302125)
J Urol. 1996 Jun;155(6):1912-5. (PMID: 8618286)
Eur Urol. 2008 Nov;54(5):1031-41. (PMID: 18715692)
J Urol. 2007 Dec;178(6):2466-9. (PMID: 17937943)
Int J Urol. 2001 Jul;8(7):380-5. (PMID: 11442660)
East Afr Med J. 1998 Oct;75(10):582-5. (PMID: 10065192)
ISRN Urol. 2012;2012:847870. (PMID: 22567426)
J Urol. 1997 Apr;157(4):1271-4. (PMID: 9120918)
BJU Int. 2004 Jun;93(9):1191-3. (PMID: 15180603)
تواريخ الأحداث: Date Created: 20130815 Date Completed: 20140605 Latest Revision: 20211021
رمز التحديث: 20240628
DOI: 10.1007/s00268-013-2176-5
PMID: 23942533
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2323
DOI:10.1007/s00268-013-2176-5