The Pattern of Association of Urethral Stricture with Benign Prostatic Hyperplasia in Nigerians
AbstractThe records of all patients treated for Being Prostatic Hyperplasia (BPH) with urethral stricture between January 1991 to December 2000 in the Urology Unit of Usmanu Danfodiyo University Teaching Hospital, (U.D.U.T.H.), Sokoto were reviewed.
69 patients with this association were studied. The mean age was 62.5 years, range 50-88. All the patients presented with urine retention which was relieved by suprapublic catheter drainage. Diagnosis was confirmed by cystourethrography, panendoscopy and urethral calibration. Treatment was by synchronous open prostatectomy and urethral dilatation in 61 patients. 8 patients were treated by internal optical urthrotomy and transurthral resection of the prostate. Post operatively, satisfactory urine flow was the rule. 6 patients required intermittent urethral dilatation during the first year. Strictures in these patients were mild, simple and adequately treaded by regeneration procedures. Severe complicated strictures were not associated with BPH.
This association tends to occur in 10-12% of BPH patients. This approach to management can be undertaken by surgeons who have average skill in general urologial procedure.
Sahel Med. J. Vol.5(4) 2002: 190-194