ABSTRACT

Background: Urethral stricture refers to abnormal narrowing of the urethral lumen and is one of the major causes of Bladder Outlet Obstruction (BOO). Urethral Stricture Disease (USD) imposes great burden on both health and quality of life of not only the affected person but also that of the immediate family members. The causes of USD are numerous and the aetiological pattern is changing with time. Trauma related urethral strictures are frequently encountered in our environment and statistical documentations are scanty. Objective: In this study was designed to document the demographic and aetiological patterns of urethral stricture disease in Port Harcourt metropolis. Materials and methods: This is a cross-sectional retrospective study, which involved review of all urethrogram and radiological reports of patients that underwent Retrograde urethrography from May 2012 to July 2017 in three Diagnostics Centers in Port Harcourt, Rivers State, Nigeria. All radiological reports with demographic variables such as age and clinical indications and with stricture as the findings were included in this study. A total of 80 cases of urethral strictures were identified and selected purposively for this study based on the inclusion criteria set for this study. Ethical approval and permission to collect data used for this study were obtained from the human research and ethics committees of the various study centers. Descriptive analysis was done using statistical package for social sciences (SPSS) version 21.Results: The mean age of the patients was 52.75±4.79 years (mean± standard deviation) and age range of 20 to 79 years. Majority of the subjects were within age group 50-59 years 37.50% (n=30) and the least were within age group 20-29 years 6.25% (n=5). Out of 80 cases of urethral strictures, 46. 25% (n=37) were caused by trauma as the highest and the least was postprostatectomy 10% (n=8). Of the 80 cases studied, multiple urethral stricture accounted for 68.75% (n=55) and the least single urethral stricture 31.25% (n=25). Conclusion: The most common age group was 50-59 years and traumatic aetiology preponderance was noted. Most of strictures were located in the anterior urethra. Keywords: Aetiological pattern, Urethral stricture disease

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https://doi.org/10.31032/IJBPAS/2019/8.8.4781