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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 1, 2013, pp. 84-89
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Bioline Code: js13011
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 1, 2013, pp. 84-89
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Urethral Stricture as seen in Dar es Salaam, Tanzania.
Nyongole, O.V.; Akoko, L.O.; Mwanga, A.H. & Mkony, C.A.
Abstract
Background:
Urethral stricture is a common condition in both developed and developing
countries, but the pattern of causes in the two situations are different. Urethral Stricture
can occur in female as well as in male, but it is far commoner in the male urethra for
various anatomical and pathological reasons.
Methods:
This was a ten months, hospital based descriptive, prospective study which
involved all patients presenting at urology clinics confirmed to have urethral stricture.
Patient characteristics were analyzed using SPSS version 18.
Results:
A total of 111 patients with urethral strictures were recruited into the study. All
were male aged 10 - 97years with a mean of 52.7 years. Trauma was the commonest cause
of urethral stricture among our patients in age group below 45 years 64.2% (p=0.000).
Urethral catheterization was the commonest cause of urethral stricture among patients in
age group above 45 years 80.9% [p= 0.026]. Most strictures occurred in the bulbar urethra
which accounted for 63.2% of all strictures.
Conclusion:
Urethral stricture disease remains a predominantly male disease covering a
wide age range of patients with social implications. Urethral catheterization and road
traffic accident related trauma are the commonest causes of urethral strictures cutting
across all the age groups. The bulbar urethra remains the commonest site of urethral
stricture.
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