Eloundou Ngah Joseph, Djibrilla Yaouba, Asmaou Ousmane, Mbo Amvene Jérémie
Service de Chirurgie, Hôpital Régional de Ngaoundéré, Cameroun.
Département des Sciences Biomédicales, Université de Ngaoundéré, Cameroun.
Pan Afr Med J. 2017 Apr 4;26:193. doi: 10.11604/pamj.2017.26.193.9669. eCollection 2017.
The aim was to determine the epidemiological, clinical aspects and the management of these patients in Ngaoundere Protestant Hospital (HPN).
We conducted a retrospective review of complete medical records of patients hospitalized for urethral stenosis in the Department of Urology at the Protestant Hospital of Ngaoundéré over a one-year period (January 2013 to January 2014).
Out of 69 registered medical records, a total of 57 patients files (all male) were identified for review. The average age was 52.6 (19 -85 years). The most represented age group was 41-60 years. Urethral stenosis accounted for 0.6% of consultations, 11.36 % of surgical hospitalizations and 6.96% of surgical procedures. Dysuria (70, 17%) was the main reason for consultation. Etiologies included infections (52,63%), traumas (26.32%) and iatrogenic problems (21.05%). All patients underwent CBEU which allowed to isolate gonococci (14,03%) and Escherichia coli (21.05%), the remainder of the urine culture was sterile (64.91%). 28 patients (49.12%) underwent retrograde uretrocystography (RUC), of whom 26 with anterior stenosis (92,85%). Internal endoscopic urethrotomy (IEU) was the most common surgical procedure (58%). Stenosis mainly occurred at the level of the bulbar and peno-bulbar regions. The rate of healing was 87,73% vs 12.27% of recurrences.
Urethral stenosis is frequent in the Protestant Hospital of Ngaoundéré; patients requiring medical consultations are often in complex medical conditions. Internal endoscopic urethrotomy has shown plausible results.
目的是确定恩冈代雷新教医院（HPN）这些患者的流行病学、临床情况及管理方法。
我们对恩冈代雷新教医院泌尿外科在一年期间（2013年1月至2014年1月）因尿道狭窄住院患者的完整病历进行了回顾性研究。
在69份登记的病历中，共确定了57份患者档案（均为男性）进行审查。平均年龄为52.6岁（19 - 85岁）。最具代表性的年龄组为41 - 60岁。尿道狭窄占门诊咨询的0.6%、外科住院的11.36%和外科手术的6.96%。排尿困难（70例，17%）是主要的咨询原因。病因包括感染（52例，63%）、创伤（26.32%）和医源性问题（21.05%）。所有患者均接受了经会阴尿道膀胱镜检查（CBEU），结果发现淋病奈瑟菌（14.03%）和大肠埃希菌（21.05%），其余尿培养无菌（64.91%）。28例患者（49.12%）接受了逆行尿道膀胱造影（RUC），其中26例为前尿道狭窄（92.85%）。内镜下尿道内切开术（IEU）是最常见的外科手术（58%）。狭窄主要发生在球部和阴茎球部区域。愈合率为87.73%，复发率为12.27%。
尿道狭窄在恩冈代雷新教医院较为常见；需要医疗咨询的患者通常病情复杂。内镜下尿道内切开术已显示出合理的效果。
