THE CLINICOPATHOLOGICAL STUDY OF STRICTURE URETHRA IN BUNDELKHAND AREA AND TO ASSESS RESULTS OF VARIOUS TREATMENT MODALITIES

Dr. Vasu Bansal; Dr. Manish Jain; Dr. Sudhir Kumar

Volume : X, Issue : VIII, August - 2020

THE CLINICOPATHOLOGICAL STUDY OF STRICTURE URETHRA IN BUNDELKHAND AREA AND TO ASSESS RESULTS OF VARIOUS TREATMENT MODALITIES

Dr. Vasu Bansal, Dr. Manish Jain, Dr. Sudhir Kumar

Abstract :

A stricture is an abnormal constriction or loss of distensibility of urethral channel. Any process that damages the urethral epithelium or its adjacent tissue to the point that the healing result in scar formation can cause an urethral stricture. It’s an ancient disease, with records found across various civilizations. And it’s still one of the most common problems faced by a general surgeon and further by urologist and plastic surgeon for that matter of fact. In resource limited settings victims of urethral strictures often seek healthcare, when the strictures are far advanced. For a surgeon, management is indeed a challenging task, given the severity and extent of disease, lack of expertise, enough skills and equipment in the healthcare facility. As urethral stricture causes progressive narrowing of the urethral lumen, symptoms and signs of urinary obstruction arise. Patients experience weak stream, straining to urinate, incomplete emptying, post–void dribbling, urinary retention, and recurrent urinary tract infections. The symptoms resemble those of other causes of bladder outlet obstruction such as benign prostatic hyperplasia. There is significant variation in the etiology of urethral stricture disease in different parts of the world as demonstrated by several single–institution studies. Trauma was found to be most common cause of urethral stricture followed by inflammatory reactions in our study of patients of Bundelkhand region. All the patients presenting themselves to O.P.D. and emergency between a period of August 2017 to September 2019 with complains of lower urinary tract symptoms were considered for inclusion in this study. Urethral stricture disease was thoroughly evaluated with radiographic and/or endoscopic techniques. The procedure selection was discussed thoroughly with the patients. After the discharge patients were followed at an interval of one week, one month, three months and six months and complications were recorded.