Abstract
Introduction: The etiology of urethral stricture disease is variable and many questions still remains unanswered. This study along with review of literature was done in a tertiary care center for evaluation of demographic characteristic of stricture urethra patients in our society and to determine the common themes that may influence possible prevention or treatment strategies.
Materials and Methods: This was a retrospective and prospective study of 60 patients with urethral stricture. The case records of all the cases diagnosed as urethral strictures were analyzed to determine the possible cause of stricture, their demographic profile, and their clinical presentation. Data were entered both prospectively through careful patient interrogation and retrospectively from a detailed chart review. Primary aetiology was defined as iatrogenic, traumatic, lichen sclerosus (LS), infectious, congenital, or unknown. Their stricture sites were also taken into account.
Results: Majority of patients in our study were young adults having mean age of 38.9 years. Out of 60 patients, 56 (93.3%) patients were male and 4(6.6%) were female. Overall, traumatic cause was the most common (58.3%). Most of patients were presented with acute urinary retention. Maximum number of stricture were found at bulbar urethra (43.3%) followed by bulbomembranous.
Conclusion: The distribution of urethral stricture etiology is not uniform across the world. Also It varies with age and it may influence the site of stricture in urethra. There is decreasing trend of infectious etiology of stricture urethra. Trauma especially external trauma is the commest etiology in developing country like India.
Keywords: Stricture, Urethra, Etiology,Trauma.
References
1. Fenton AS, Morey AF, Aviles R, Garcia CR. Anterior urethral strictures: etiology and characteristics. Urology 2005;65:1055–8
2. Lumen N, Hoebeke P, Willemsen P, De Troyer B, Pieters R, Oosterlinck W. Etiology of urethral stricture disease in the 21st century.J Uorl 2009; 182:983–7
3. Fall B, Sow Y, Mansouri I etal. Etiology and current clinical characteristics of male urethral stricture disease:experience from a public teaching hospital in Senegal. Int Urol Nephrol 2011;43:969–74
4. Mathur R, Aggarwal G, Satsangi B, Khan F, Odiya S. Comprehensive analysis of etiology on the prognosis of urethral strictures. Int Braz J Urol 2011;37:362–9;discussion 369–70
5. Santucci RA, Joyce GF, Wise M. Male urethral stricture disease. J Uorl 2007;177:1667–74
6. Manzoor Hussain, Hasan Askari, Murli Lal, Experience at a stricture clinic in a develop-ing country, Journal of the Pakistan Medical Association 63(2):234-8 February 2013.
7. Martinez Montoya, Jorge A., Tascon Acevedo, Natalia M.. Surgical approach of traumatic urethral injury in children: Experience at San Vicente of Paul Universitary Hospital. Medellin 1987-2007. Actas Urol Esp [online]. 2009, vol.33, n.4, pp.416-421. ISSN 0210-4806.
8. C.F. Heyns∗, J. van der Merwe , J. Basson , A. van der Merwe, Etiology of male urethral strictures- Evaluation of temporal changes at a single center, and review of the literature African Journal of Urology (2012) 18, 4–9
9. Tawfik Al-Ba’adani et al. Antegrade and Retrograde Endoscopic Manipulation of Complete Posterior Urethral Stricture. UroToday Int J. 2012 October;5(5):art 42.
10. Brandes S, Borrelli J. Pelvic fracture and associated urologic injuries. World J Surg 2001; 25: 1578-87
11. Lumen N, Hoebake P, Willemseam P. Etiology of urethral stricture disease in the 21st Century. J Urol 2009; 182: 983-7
12. Fenton AS, Morey AF, Aviles R, Garcia CR. Anterior urethral strictures: etiology and caractéristiques. Urology 2005; 65: 1055-7
13. Stefan Tritschler Urethral Stricture: Etiology, Investigation and Treatments, Dtsch Arztebl Int. 2013 Mar; 110(13): 220–226
Corresponding Author
Rustam Singh Kaurav
Department of Urology, Government Medical College Trivandrum, Kerala, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.172
