Irekpita Eshiobo
Department of Surgery, Urology Division, Ambrose Alli University, Ekpoma, Nigeria.
Niger J Surg. 2017 Jul-Dec;23(2):119-124. doi: 10.4103/njs.NJS_50_16.
Several authors have demonstrated regional and temporal changes in the demographics of urethral stricture and its management.
To assess the changes in the demographics of the patients and the evolution of the management of urethral stricture in this institution.
This is a retrospective study. The files of all the men who were diagnosed with urethral stricture from May 2006 to April 2016 were retrieved from the database of the records department of the hospital. The predictor variables assessed included age at presentation, occupation, etiology, presenting symptoms, stricture site, length of stricture, treatment method, year of treatment, complications of treatment, result of urine microscopy and sensitivity, comorbidities, and social habits of the patients. The outcome variables were the proportion of men in relation to the predictor variables and the test of correlation ( = 0.05 and below significant). Analysis was done using the Statistical Package for the Social Sciences (SPSS) version 21.
Forty-six patients were diagnosed as having urethral stricture within the study period. All were males. The mean age was 53.11 years (standard deviation 17.63852) with a range from 19 to 96. There were 4 (8.7%) students, 11 (23.9%) civil servants, 4 (8.7%) businessmen, 3 (6.5%) military men, and 24 (52.2%) others who were essentially artisans. Majority of them (68.9%) presented with lower urinary tract symptoms while was the most commonly cultured organism from their urine (17.4%). The most common single etiology was urethritis (30.4%). From 2013 onward, there was an abrupt transition from conservative treatment using dilatation which dropped from 38.9% to 17.9%. More complex surgeries such as buccal mucosal graft urethroplasty for bulbar strictures and two-stage repair for penile strictures increased from 11.1% to 57.1%.
Urethritis is still the most common single etiological factor in urethral stricture disease in this rural community. Artisans such as drivers and mechanics were the most commonly afflicted. There was an abrupt transition from the old conservative methods of treatment to complex urethroplasties within the study period.
多位作者已证明尿道狭窄的人口统计学特征及其治疗存在区域和时间上的变化。
评估该机构中患者的人口统计学变化以及尿道狭窄治疗方法的演变。
这是一项回顾性研究。从医院记录部门的数据库中检索了2006年5月至2016年4月期间所有被诊断为尿道狭窄的男性患者的病历。评估的预测变量包括就诊时年龄、职业、病因、临床表现症状、狭窄部位、狭窄长度、治疗方法、治疗年份、治疗并发症、尿液显微镜检查结果及药敏试验、合并症以及患者的社会习惯。结果变量是与预测变量相关的男性比例以及相关性检验（P = 0.05及以下具有显著性）。使用社会科学统计软件包（SPSS）21版进行分析。
在研究期间，46例患者被诊断为尿道狭窄。均为男性。平均年龄为53.11岁（标准差17.63852），年龄范围为19至96岁。有4名（8.7%）学生，11名（23.9%）公务员，4名（8.7%）商人，3名（6.5%）军人，以及24名（52.2%）其他人员，主要是工匠。他们中的大多数（68.9%）表现为下尿路症状，而[具体细菌名称]是其尿液中最常培养出的微生物（17.4%）。最常见的单一病因是尿道炎（30.4%）。从2013年起，使用扩张术的保守治疗突然转变，从38.9%降至17.9%。更复杂的手术，如球部狭窄的颊黏膜移植尿道成形术和阴茎狭窄的两阶段修复术，从11.1%增加到57.1%。
在这个农村社区，尿道炎仍然是尿道狭窄疾病最常见的单一病因。司机和机械师等工匠是最常患病的人群。在研究期间，治疗方法从旧的保守方法突然转变为复杂的尿道成形术。
