Clinical and radiological spectrum of urethral stricture disease: An eastern India scenario

Dr. Nidhi Sehgal; Dr. Jitendra Pratap Singh; Dr. Vinod Priyadarshi

Volume : VII, Issue : III, March - 2018

Clinical and radiological spectrum of urethral stricture disease: An eastern India scenario

Dr. Nidhi Sehgal, Dr. Jitendra Pratap Singh, Dr. Vinod Priyadarshi

Abstract :

Background

Urethral stricture disease has a wide array of presentation depending upon the aetiology, anatomy and its clinical impact. Its management too, varies according to type and extent of pathology; age, expectations and co–morbidities of patient and surgeon�s skill and experience.

Purpose– Present study has been done to share our experience with the urethral stricture disease to delineate the presenting complaints and associated signs and symptoms of patients in this part of world; along with a relevant review of the literature.

Material and methods– This was a retrospective study of a total of 404 patients with urethral stricture, who were admitted between January 2007 to December 2014 in the Urology Department of tertiary care centre of eastern India. The case records of all cases diagnosed as anterior urethral stricture were analyzed for clinical presentation. Data were entered both prospectively by careful patient questioning and retrospectively from the detailed chart review.

Results– Mean age of presentation was 41.2years (age range from 3 to 81 years). Overall iatrogenic causes were most common (40.6%) but stricture etiology varied with the stricture site. Lower urinary tract symptoms (84%) were the most common way of presentation followed by acute urinary retention (27%). The clinical presentation was associated with complication in 22.27% (90) cases.

Conclusion– The symptoms other than LUTS and urinary retention must be considered when treating any patient with urethral stricture. Around 60% of patients of urethral stricture require emergent Urologic treatment .More than 20 % have associated complication and a life–threatening condition at the time of presentation. A disease specific, patient reported questionnaire addressing voiding and sexual dysfunction is needed to accurately characterize these symptoms and measure outcomes.