Title: Demographic Trend of Stricture Urethral Disease: An Indian Scenario
Authors: Rustam Singh Kaurav, Praveen Gopi
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.172
Abstract
Introduction: The etiology of urethral stricture disease is variable and many questions still remains unanswered. This study along with review of literature was done in a tertiary care center for evaluation of demographic characteristic of stricture urethra patients in our society and to determine the common themes that may influence possible prevention or treatment strategies.
Materials and Methods: This was a retrospective and prospective study of 60 patients with urethral stricture. The case records of all the cases diagnosed as urethral strictures were analyzed to determine the possible cause of stricture, their demographic profile, and their clinical presentation. Data were entered both prospectively through careful patient interrogation and retrospectively from a detailed chart review. Primary aetiology was defined as iatrogenic, traumatic, lichen sclerosus (LS), infectious, congenital, or unknown. Their stricture sites were also taken into account.
Results: Majority of patients in our study were young adults having mean age of 38.9 years. Out of 60 patients, 56 (93.3%) patients were male and 4(6.6%) were female. Overall, traumatic cause was the most common (58.3%). Most of patients were presented with acute urinary retention. Maximum number of stricture were found at bulbar urethra (43.3%) followed by bulbomembranous.
Conclusion: The distribution of urethral stricture etiology is not uniform across the world. Also It varies with age and it may influence the site of stricture in urethra. There is decreasing trend of infectious etiology of stricture urethra. Trauma especially external trauma is the commest etiology in developing country like India.
Keywords: Stricture, Urethra, Etiology,Trauma.
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