[Urethral stricture in Africa. Urologic complication of sexually transmitted diseases in the male in Africa].

Urethral stricture is a very frequent and severe complication of sexually transmitted diseases in African male. It is very often largely sclerous and inflammatory as the patients come to consultation very late. Urethral repair techniques are analysed, so the principles of surgical procedure. When urethral stricture is brief and "catheterisable", and in case of recurrence, endoscopic dilatation or endoscopic internal urethrotomy must be performed in the first place. In the others cases, in order, we advise: free skin graft urethroplasty (Devine), pedicled vaginal urethroplasty (Kishev), scrotal flap urethroplasty (Blandy), and the two-stage urethroplasty. In fact this choice depends on the urethral and peri-urethral lesions and on the operator's practice.