Clinical and Epidemiological Profile of Urethral Stricture Disease in Ogbomoso, Nigeria

Najeem A Idowu; Peter O Odeyemi; Olushola J Ajamu; Ismail Oseni; Ganiyu A Oyeniyi; Adebayo A Adekunle; Mumini W Rasheed; Dhikrulah Adebayo; Stephene I Adedokun

doi:10.54361/ajmas.258405

Authors

Najeem A Idowu Urology Division, Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Nigeria https://orcid.org/0000-0003-4231-7703
Peter O Odeyemi Department of Surgery, Urology division, Ladoke Akintola University of Technology, Ogbomoso, Nigeria https://orcid.org/0000-0003-4239-9534
Olushola J Ajamu Department of Surgery, Urology unit, Federal Medical Center Keffi, Nigeria https://orcid.org/0009-0001-2045-8305
Ismail Oseni Department of Surgery, Urology unit, University of Ilorin, Ilorin, Nigeria https://orcid.org/0000-0002-8204-9363
Ganiyu A Oyeniyi Department of Surgery, Urology unit Osun State University, Osogbo, Nigeria https://orcid.org/0009-0000-4181-3428
Adebayo A Adekunle Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology, Ogbomoso, https://orcid.org/0000-0002-7189-035X
Mumini W Rasheed Department of Anatomic Pathology, Federal University Dutse, Nigeria https://orcid.org/0000-0003-4888-6325
Dhikrulah Adebayo Department of Clinical Pharmacology, University College Hospital Ibadan, Nigeria https://orcid.org/0000-0001-5891-7768
Stephene I Adedokun Department of Surgery, Urology division, Ladoke Akintola University of Technology, Ogbomoso, Nigeria https://orcid.org/0000-0001-5607-4090

DOI:

https://doi.org/10.54361/ajmas.258405

Keywords:

Urethral Stricture, Epidemiology, Ogbomoso

Abstract

Urethral stricture disease constitutes a major cause of bladder outlet obstruction in men. The clinical presentation of this pathology is not well understood in our community. Our objective was to discuss the clinical and epidemiological profile of this pathology. This was a hospital-based retrospective review of all cases of urethral stricture and urethral stenosis that were seen in our center between 2015 and 2024. Their case folders were retrieved from the hospital medical record department. Information on the clinical and epidemiological profile extracted was recorded in a designed proforma. Analysis was done by using the chi-square and Kruskal-Wallis test for categorical variables and Spearman’s correlation coefficient for continuous variables. A p-value of < 0.05 was considered statistically significant. A total number of 46 patients were managed for urethral stricture with a mean age of 37.7+/13.7SD within a range of 16-90 years and hospital period prevalence of 14 per 100,000. Stricture was noted to be common in the bulbar urethral (28, 60.9%), while the most common etiology was observed to be post-inflammatory. (25, 54.3) There was a significant association between location and etiology of the stricture (p-value< 0.001). The association between length and etiology of the stricture was also statistically significant (p-value<0.001). All the patients had a successful voiding trial at discharge. The most common cause of urethral stricture remains post-inflammation, and there was a significant association between location and etiology of stricture, as well as between length and etiology.