Contemporary Evaluation and Treatment of Male Urethral Stricture Disease in West Africa

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dc.contributor.author Mensah, J.E.
dc.contributor.author Asante, E.K.
dc.contributor.author Kyei, M.Y.
dc.contributor.author Toboh, B.
dc.date.accessioned 2018-12-13T11:00:08Z
dc.date.available 2018-12-13T11:00:08Z
dc.date.issued 2013-06
dc.identifier.other Volume 8, Issue 2, pp 108–113
dc.identifier.other https://doi.org/10.1007/s11884-013-0185-8
dc.identifier.uri http://ugspace.ug.edu.gh/handle/123456789/26396
dc.description.abstract Urethral stricture is a common cause of morbidity and sometime mortality in West Africa. A variety of investigative tool and techniques are currently available to evaluate and manage this condition. Major urological societies have issued evidence based guidelines for the evaluation and management of this disease. In Ghana and West Africa the resources available in the developed world may not be available. The patient population is different with most patients presenting with complications like acute urinary retention. Therefore evidence based guidelines may not be strictly adhered to. We performed a retrospective audit of the evaluation and management of urethral stricture at Korle Bu Teaching hospital in Accra Ghana between November 2011 and November 2012 and compared our findings with published studies from the sub region. Post inflammatory strictures predominate but the percentage is decreasing due to the rapid increase in the incidence of pelvic fracture urethral injury. To reduce the cost of investigation a thorough history and physical examination is essential, imaging tests performed are those that will influence management plan. Although urethrotomy and dilatation are not curative, patients who otherwise would have benefited from urethroplasty are still offered repeated urethrotomy because of lack of theatre space and trained surgeons to perform urethroplasty. For the same reason many patients in the sub region spend many months to years with a suprapubic catheter. © 2013 Springer Science+Business Media New York. en_US
dc.language.iso en en_US
dc.publisher Current Bladder Dysfunction Reports en_US
dc.subject Urethral dilatation en_US
dc.subject Urethral stricture en_US
dc.subject Urethritis en_US
dc.subject Suprapubic cystostomy en_US
dc.subject Urethroplasty en_US
dc.subject Urethrotomy en_US
dc.subject West Africa en_US
dc.title Contemporary Evaluation and Treatment of Male Urethral Stricture Disease in West Africa en_US
dc.type Other en_US


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