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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-07
Is Post-Inflammatory Urethral Stricture Commoner Than Post-Traumatic Urethral Stricture? A Study in South-South Nigerian Hospital
Elijah Udoh
Published: July 30, 2016 | 60 61
DOI: 10.36347/sjams.2016.v04i07.081
Pages: 2690-2694
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Abstract
Urethral stricture is a narrowing of the urethra due to scarring process. It can be caused by a pre-existing inflammatory process, traumatic condition to the urethral or idiopathic where the cause is unknown. Historically, both in the developed and developing countries post- inflammatory stricture disease dominated over post traumatic causes, however, about few decades ago the trend changed. While the picture remained the same in developing countries it is a reverse in the developed countries where post-traumatic causes topped the list. In our study also, urethral stricture of post- inflammatory origin was seen to be commoner than post-traumatic causes. A retrospective study of all patients seen in our facility with symptoms of bladder outlet obstruction and diagnosed with urethral stricture between January 2014 to December 2014. Eighteen patients were sorted out and used for the study. Biomedical data, clinical features and methods of diagnosis were retrieved and analyzed. Patient’s age ranged from 19-93 years with a mean of 50.17+ 17.618 years. Post- inflammatory group were 10 patients (55.6%) while post-traumatic group were 7 patients (38.9%) and one patient had idiopathic stricture representing 5.6%. Mean age at diagnosis per cause were respectively 55.4 + 17.61, 47.14.86 and 19 years for post-inflammatory, post- traumatic and idiopathic causes. Stricture is a major urological condition and frequently leads to bladder outlet obstruction and strong bothersome symptoms to patients. In developing countries such as ours, it is still commonly caused by post-infectious urethritis and other relatively common causes are post-traumatic and idiopathic.