Management of Urethral Stenosis in Men: Experience of the Regional University Hospital of Ouahigouya (Burkina Faso) about 35 Cases

Abstract

Objective: To describe the management of urethral stenosis in the urology-andrology department of the Regional University Hospital Center of Ouahigouya (CHUR/OHG). Method: retrospective study, with a descriptive aim, conducted over a period of four (4) years, extending from January 1, 2021 to December 31, 2024 in the urology-andrology department of the (CHUR/OHG). Result : 35 patients with urethral stenosis were treated during these four years, i . e . an annual frequency of 8.75 cases. The age of the patients ranged from 21 to 89 years with a mean age of 52.54 ± 21.22 years. The most represented age group was 61 to 70 years old. The majority of patients were farmers (57.14%) and came from urban areas in 54.29% of cases. The main reason for consultation was complete urinary retention, observed in 82.86% of patients. Regarding the history, 58.33% of patients had undergone a bladder catheterization, while 41.67% had a previous perineal trauma. The most frequent involvement concerned the bulbar urethra, in 57.14% of cases. Therapeutically, termino-terminal anastomotic resection was the most widely used surgical technique, accounting for 70.59% of the interventions, with a success rate of 91.7%. Con clusion : Urethral stenosis is a pathology that mainly affects adults. In our study, the bulbar urethra was the preferred site of this condition and termino-terminal anastomotic resection was the most frequently used therapeutic technique.