Endoscopic Internal Urethrotomy (EIU): Results of a Dynamic Study at the Urology-Andrology Department of the University Hospital Center (UHC) of Conakry  

作　　者：Mamadou II Barry Demba Cissé Moussa Gnalen Diakité Lahoumbo Ricardo Gnammi Thierno Mamadou Oury Diallo Mamadou Diawo Bah Mamadou Bissiriou Bah Alimou Diallo Daouda Kanté Ibrahima Bah Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah Mamadou II Barry;Demba Cissé;Moussa Gnalen Diakité;Lahoumbo Ricardo Gnammi;Thierno Mamadou Oury Diallo;Mamadou Diawo Bah;Mamadou Bissiriou Bah;Alimou Diallo;Daouda Kanté;Ibrahima Bah;Ibrahima Bah;Abdoulaye Bobo Diallo;Oumar Raphiou Bah(University Hospital Center of Conakry, Urology Andrology Department of Ignace-Deen Hospital, Gamal Abdel Nasser University, Conakry, Guinea)

机构地区：[1]University Hospital Center of Conakry, Urology Andrology Department of Ignace-Deen Hospital, Gamal Abdel Nasser University, Conakry, Guinea

出　　处：《Open Journal of Urology》2021年第11期427-435,共9页泌尿学期刊（英文）

摘　　要：<strong>Introduction:</strong> Endoscopic internal urethrotomy (EIU) is a technique that consists of an incision of the stenosed urethra under visual control. Its indication is widespread since the first description in 1971 by Sachse. The objective was to analyze the results of EIU in the treatment of urethral stenosis (US) at the Andro-Urology Department of the UHC of Conakry. <strong>Methodology:</strong> It is a prospective descriptive study, lasting 18 months (January 2016-30 June 2017). It involved 102 patients. The variables were: age, etiology of US, type of catheter, duration of catheter wear and recurrences. After a 12-month follow-up, our results were considered good in the absence of recurrences. <strong>Results:</strong> The average age was 54.25 years with the extremes comprising between 16 and 96 years. The main reasons for medical checkup were chronic urine retention at 58.82%. Etiology infection was the most frequent with a ratio of 81.37%, while <em>Escherichia coli</em> was found at 51.29%. US was bulbar (71.57%), unique (67.64%) and less than 1 cm (60.78%). Surgical complication occurred with 9 patients (8.82%) with urethrorrhagia and the external genital organs infiltration in 4 cases. Results were good for 77 patients (75.49%). Stenosis post infection, long and multiple stenoses, urethral catheterization with latex catheter and urethral catheterization of more than 4 days were strongly associated with the recurrence occurrence. <strong>Conclusion:</strong> The EIU is a minimally invasive surgical technique that offers good results.<strong>Introduction:</strong> Endoscopic internal urethrotomy (EIU) is a technique that consists of an incision of the stenosed urethra under visual control. Its indication is widespread since the first description in 1971 by Sachse. The objective was to analyze the results of EIU in the treatment of urethral stenosis (US) at the Andro-Urology Department of the UHC of Conakry. <strong>Methodology:</strong> It is a prospective descriptive study, lasting 18 months (January 2016-30 June 2017). It involved 102 patients. The variables were: age, etiology of US, type of catheter, duration of catheter wear and recurrences. After a 12-month follow-up, our results were considered good in the absence of recurrences. <strong>Results:</strong> The average age was 54.25 years with the extremes comprising between 16 and 96 years. The main reasons for medical checkup were chronic urine retention at 58.82%. Etiology infection was the most frequent with a ratio of 81.37%, while <em>Escherichia coli</em> was found at 51.29%. US was bulbar (71.57%), unique (67.64%) and less than 1 cm (60.78%). Surgical complication occurred with 9 patients (8.82%) with urethrorrhagia and the external genital organs infiltration in 4 cases. Results were good for 77 patients (75.49%). Stenosis post infection, long and multiple stenoses, urethral catheterization with latex catheter and urethral catheterization of more than 4 days were strongly associated with the recurrence occurrence. <strong>Conclusion:</strong> The EIU is a minimally invasive surgical technique that offers good results.

关 键 词：URETHRAL Stenoses ENDOSCOPIC Urethrotomy Conakry 

分 类 号：R69[医药卫生—泌尿科学]