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Management and Outcome of Urethral Strictures at Two Tertiary Health Facilities in Cameroon

Open Journal of Urology 2024年第8期14卷 435-446页

作者： Martin Divine Mokake Divine Enoru Eyongeta Ekani Mahamat Ekani Diana Nunga Theophile Chunteng Nana Ntungwetape Ngwane Mwambo Nalova elroy patrick weled.i Chichom Alain Mefire Marcellin Ngowe Ngowe Department of Surgery and Specialties Faculty of Health Sciences University of Buea Buea Cameroon Department of Surgery Regional Hospital Buea Buea Cameroon Department of Surgery Regional Hospital Limbe Limbe Cameroon Department of Surgery Douala General Hospital Douala Cameroon

introduction and Objectives: Urethral stricture is a reduction in the caliber of the urethral lumen impeding the outflow of urine. it predominantly affects males. The disease burden is severe in our milieu where access to specialized care is limited. Our goal was therefore to assess the management and outcome of male urethral stricture at two tertiary hospitals in Douala, Cameroon. Materials and Methods: This was a hospital-based retrospective study of patients managed for urethral stricture over 5 years (January 1st, 2017 to December 31st, 2021) at the Douala General and Laquintinie Hospitals. Data on sociodemographic, clinical, paraclinical, and treatment options were extracted using pre-structured forms. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 28. Statistical significance was set at p-value Results: We exploited 130 medical records. The mean age of patients was 46.5 years. Dysuria and weak urine stream were the major presenting complaints (63.8% and 23.8% respectively). The etiology of urethral stricture was iatrogenic in 42.3% of cases. The strictures were mostly single (89.8%), and the bulbar urethra was most affected (46.9%). 28 patients had urinary tract infections and the most frequently isolated germ was E. coli in 29.6%. Direct visual internal urethrotomy (DViU) was performed in 42.3% of cases. Surgery, especially excision and primary anastomosis (EPA) was done in 28.5% of cases. Major complications were wound infection, acute kidney injury (AKi), and urethrocutaneous fistulae affecting 3.1, 2.3, and 1.5% of cases respectively. The recurrence rate was 17% with a mortality rate of 0.08%. Conclusion: Urethral stricture is common in our adult male population. The cause is mainly iatrogenic and the bulbar urethra is most affected. Minimally invasive and open reconstruction are frequently used treatment options with significant recurrence rates in the long term.

关键词： Urethral Stricture Management Outcomes

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Abdominal tuberculosis: is there a role for surgery?

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World Journal of Gastrointestinal Surgery 2017年第8期9卷 174-181页

作者： elroy patrick weled.i Benjamin Thumamo Pokam Department of Surgery Faculty of Health Sciences University of Buea Department of Biomedical Sci-ences Faculty of Health Sciences University of Buea

it is important that surgeons are familiar with the various manifestations of tuberculosis(TB). Although TB has been declining in incidence in the developed world, itremains an important problem in endemic areas of the developing world. The aim of the review was to elucidate the natural history and characteristics of abdominal TB and ascertain the indications for surgery. TB can affect the intestine as well as the peritoneum and the most important aspect of abdominal TB is to bear in mind the diagnosis and obtain histological evidence. Abdominal TB is generally responsive to medical treatment, and early diagnosis and management can prevent unnecessary surgical intervention. Due to the challenges of early diagnosis, patients should be managed in collaboration with a physician familiar with anti-tuberculous therapy. An international expert consensus should determine an algorithm for the diagnosis and multidisciplinary management of abdominal TB.

关键词： Tuberculosis Peritoneal intestinal Surgery Anti-tuberculous therapy

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