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Research Article
Evaluation of Postoperative Urinary Tract Infection and Sepsis Rates After Adding Cystolitholapaxy to HoLEP:
A Retrospective Analysis
Federico Agustin Rovegno*
,
Rajiv Pillai,
Zafar Maan,
Soumendra Datta,
Omar Nasir,
Gerald Rix
Issue:
Volume 10, Issue 1, June 2026
Pages:
1-5
Received:
13 October 2025
Accepted:
11 November 2025
Published:
29 January 2026
Abstract: Holmium laser enucleation of the prostate (HoLEP) is an established treatment for benign prostatic hyperplasia (BPH). In patients with concurrent bladder stones, cystolitholapaxy can be performed during the same procedure, but its impact on postoperative infections is unclear. We retrospectively analysed 278 patients who underwent HoLEP alone (n = 205) or HoLEP with cystolitholapaxy (n = 73) between 2017 and 2024. Baseline characteristics including age, prostate size, body mass index (BMI), diabetes mellitus (DM), and postoperative infectious outcomes were compared. Urinary tract infection (UTI) was defined by abnormal urinalysis within 30 days, and sepsis was defined clinically. Independent t-tests and Fisher’s exact test were used, with p < 0.05 considered significant. Baseline demographics were similar between groups (mean age: 73.46 vs. 73.41 years, p = 0.956; prostate size: 106.97 vs. 117.92 mL, p = 0.104; BMI: 27.64 vs. 28.50 kg/m², p = 0.281). The HoLEP + cystolitholapaxy group had more DM patients than HoLEP only (37.7% vs. 22.5%; Odds ratio (OR) = 2.08, 95% CI 1.16–3.74; p = 0.018). Postoperative UTI occurred in 22/205 (10.7%) HoLEP-only and 12/73 (16.4%) combined patients (OR = 0.85, 95% CI 0.43–1.64; p = 0.643). Sepsis was rare (1/205 in HoLEP-only; 0/73 in combined; OR = 0.93; p = 1.000). Despite higher DM prevalence in the HoLEP + cystolitholapaxy group, no significant differences in postoperative UTI or sepsis were observed. Combining HoLEP with cystolitholapaxy appears safe, allowing comprehensive management of BPH and bladder stones in a single session without increasing infectious risk.
Abstract: Holmium laser enucleation of the prostate (HoLEP) is an established treatment for benign prostatic hyperplasia (BPH). In patients with concurrent bladder stones, cystolitholapaxy can be performed during the same procedure, but its impact on postoperative infections is unclear. We retrospectively analysed 278 patients who underwent HoLEP alone (n = ...
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Research Article
Laser Ureteroscopy for Calculi in the Upper Urinary Tract: Bicentric Study, Urology Department of Libreville University Hospital, SOS Medecins Clinic
Mbethe Dimitri*,
Ndang Ngou Milama Steevy,
Adande Menest Elvir,
Ayeme Georges,
Nzalimbaninenou Mboula Pauline,
Allogho Mbouye Gloire,
Bissiriou Izoudine,
Mougougou Adrien
Issue:
Volume 10, Issue 1, June 2026
Pages:
6-9
Received:
31 December 2025
Accepted:
16 January 2026
Published:
9 February 2026
Abstract: Introduction: Urinary lithiasis represents a significant part of urological practice. Today, it is mainly treated endoscopically. The advent of the flexible ureteroscope (FUS) and laser has further improved the treatment of renal stones. In this paper, we report on our experience in terms of indications and results. Patient and methods: This was a retrospective, descriptive, and analytical study conducted between January 1, 2015, and December 31, 2024, in the urology department of the Libreville University Hospital and a partner private clinic (SOS Medecins). The study included the complete records of patients who underwent semi-rigid or flexible ureteroscopy for upper urinary tract stones with laser fragmentation. The parameters studied were gender, age, reason for consultation, medical history, characteristics of the lithiasis, laterality, indication, duration of the procedure, occurrence of any incidents or accidents, length of hospital stay, and outcome. Success was defined as the absence of lithiasis or the presence of lithiasis fragments less than 3 mm in diameter. Data analysis was performed using SPSS version 20.0 software; means, standard deviations, frequencies, and extremes were calculated. Results:88 laser ureteroscopies were performed on 82 patients. There were 55 men and 33 women, giving a sex ratio of 1.7. The average age was 42.97 years (range 21 to 77 years). The main reason for consultation was renal colic in 70 patients (79.54%), followed by chronic low back pain in 12 patients (13.64%). The stones were unilateral in 75 patients (91.5%) and bilateral in 7 (8.5%). The locations were mainly pyelic and middle calyceal (19.3% each). The average size of the stones was 8 mm (ranging from 3 to 35 mm). The overall success rate was 93.9%. Postoperatively, complications were minor according to the Clavien-Dindo classification and occurred in 6.1% of cases. The average length of hospital stay was 3 days. Conclusion: The treatment of upper urinary tract lithiasis by laser ureteroscopy has been effective in Libreville for 10 years, despite its high cost, which limits its use. Its practice is becoming commonplace in view of the advantages it offers compared to conventional surgery.
Abstract: Introduction: Urinary lithiasis represents a significant part of urological practice. Today, it is mainly treated endoscopically. The advent of the flexible ureteroscope (FUS) and laser has further improved the treatment of renal stones. In this paper, we report on our experience in terms of indications and results. Patient and methods: This was a ...
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Research Article
Causes of Death in the Urology Department of the Libreville University Hospital Center
Mbethe Dimitri*,
Mougougou Adrien,
Nzalimbaninenou Mboula Pauline,
Ndang Ngou Milama Steevy,
Allogho Mbouye Gloire,
Nguyen Akendengue Leslie,
Bissiriou Izoudine,
Adande Menest Elvir
Issue:
Volume 10, Issue 1, June 2026
Pages:
10-13
Received:
17 January 2026
Accepted:
27 January 2026
Published:
11 February 2026
Abstract: Introduction: There are many causes of death during hospitalization. Throughout this study, we will examine the main causes of death in the urology department at the Libreville university hospital center (CHUL). Materials and Methods: This is a retrospective, descriptive, single-center study conducted in the urology department of the CHUL from January 2020 to December 2025. All patients hospitalized in the urology department through the emergency room or outpatient consultation were included. The parameters studied were age, sex, medical and surgical history, pathology, treatment received, and length of hospital stay. Data were collected using a survey form based on patient hospitalization records and medical files. Results: A total of 1,265 patients were hospitalized during the study period, including 56 deaths, representing a mortality rate of 4.4%. The average age was 55.4 years. There was a predominance of males (49M/7F). Comorbidity factors dominated by high blood pressure and diabetes were found in 53.6% of patients. Cancer was the leading cause of hospitalization (69.6%), with prostate adenocarcinoma at the top of the list. In the majority of cases (58.9%), patients were admitted with a deterioration in their general condition. The average length of hospital stay was 16.4 days. Conclusion: Although there are many urological conditions, cancer, predominantly prostate cancer, remains the leading cause of death in the urology department of the Libreville University Hospital. Patients were often admitted in a state of general deterioration linked to a disease that was already at an advanced stage. An ongoing awareness and screening program should have an impact on this mortality rate in urology.
Abstract: Introduction: There are many causes of death during hospitalization. Throughout this study, we will examine the main causes of death in the urology department at the Libreville university hospital center (CHUL). Materials and Methods: This is a retrospective, descriptive, single-center study conducted in the urology department of the CHUL from Janu...
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Research Article
Diagnosis and Management of Renal Trauma in Two University Teaching Hospitals in Burkina Faso
Issue:
Volume 10, Issue 1, June 2026
Pages:
14-18
Received:
15 January 2026
Accepted:
26 January 2026
Published:
24 February 2026
Abstract: Introduction: Renal trauma, resulting from external mechanical injury, impacts both renal and vital prognosis, particularly in severe cases. In Africa, the predominant etiologies are road traffic accidents and falls. This study describes the diagnostic and therapeutic profile of renal trauma in two university teaching hospitals in Burkina Faso. Methods: A descriptive retrospective study was conducted over 5 years (2019-2023), including all patients managed for renal trauma. Sociodemographic, clinical, paraclinical, and therapeutic data were analyzed. Results: Forty cases were collected. The mean age was 25.5 years, with a male predominance (85%). Road traffic accidents accounted for 75% of causes. Clinically, lumbar pain (92.5%) and hematuria (77.7%) were common. All patients underwent CT urography (CTU), classifying lesions according to the AAST scale: grades IV (50%) and III (35%) predominated. Conservative management was applied in 95% of patients, including bed rest, analgesia, antibiotic therapy (57.5%), and blood transfusion (27.5%). Nephrectomy (5%) was required for hemodynamic instability or persistent life-threatening hematuria. The outcome was favorable for the majority, with complications (persistent urinoma/hematoma, abscess) in a few high-grade patients. Discussion: The patient profile (young active males) and etiology (road traffic injuries) are consistent with regional data. CTU is established as the key examination for assessment. The high rate of conservative management, even for grades III-IV, confirms this strategy as the standard for stable patients, allowing preservation of nephron mass without increased morbidity. Nephrectomy remains exceptional. Loss to follow-up limits the evaluation of long-term outcomes. Conclusion: Renal trauma in Burkina Faso primarily affects young males involved in road traffic accidents. Its management, largely conservative thanks to the contribution of CTU, is effective. Road safety prevention constitutes a major focus for reducing the incidence of these injuries.
Abstract: Introduction: Renal trauma, resulting from external mechanical injury, impacts both renal and vital prognosis, particularly in severe cases. In Africa, the predominant etiologies are road traffic accidents and falls. This study describes the diagnostic and therapeutic profile of renal trauma in two university teaching hospitals in Burkina Faso. Met...
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Research Article
Management of Lower Urinary Retention at the Yalgado Ouedraogo University Hospital Center
Issue:
Volume 10, Issue 1, June 2026
Pages:
19-27
Received:
1 February 2026
Accepted:
11 February 2026
Published:
25 February 2026
Abstract: Introduction: Lower urinary retention is one of the most common urological emergencies in the hospital setting, primarily affecting elderly men and most often related to prostatic pathologies. This study aimed to describe the therapeutic modalities and outcomes of lower urinary retention managed at the Yalgado Ouedraogo University Hospital Center (CHU-YO). Methodology: This was a prospective, descriptive, longitudinal study conducted from August 1, 2023, to January 31, 2024, in the urological emergency department of CHU-YO. All patients admitted for urinary retention were included, except those already catheterized or non-consenting. Epidemiological, clinical, paraclinical, and therapeutic data were collected via Kobo Toolbox and analyzed with SPSS 20. Results: Out of 333 urological emergencies, 198 cases of urinary retention were identified (59.46%). After exclusions, 181 patients were analyzed. The mean age was 65.8 years, with a marked male predominance (92.8%). Retention was complete in 87.3% of cases and of sudden onset in 91.2%. Prostatic pathologies were the main etiology in men, followed by urethral strictures. Obstructive renal failure was present in 34.8% of patients prior to drainage. Transurethral bladder catheterization was the primary drainage method, with a failure rate of 10.9%. Post-drainage complications were dominated by decompression hematuria (5.0%) and post-obstructive diuresis syndrome (4.4%). The mean hospital stay was 3.7 days. Conclusion: Lower urinary retention remains a frequent emergency at CHU-YO, primarily affecting elderly men and dominated by prostatic pathologies. Late diagnosis exposes patients to a high risk of renal complications, underscoring the need for early screening of voiding disorders and strengthening of management capacities at the peripheral level.
Abstract: Introduction: Lower urinary retention is one of the most common urological emergencies in the hospital setting, primarily affecting elderly men and most often related to prostatic pathologies. This study aimed to describe the therapeutic modalities and outcomes of lower urinary retention managed at the Yalgado Ouedraogo University Hospital Center (...
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Review Article
A Comprehensive Review on Nephroprotective Activity of the Potential of Indian Traditional Medicinal Plants
Issue:
Volume 10, Issue 1, June 2026
Pages:
28-34
Received:
31 January 2026
Accepted:
14 February 2026
Published:
27 February 2026
Abstract: Because they control waste elimination, electrolyte composition, and fluid balance, kidneys are essential for preserving homeostasis. Acute and chronic kidney illnesses are largely caused by exposure to nephrotoxic substances, including medicines, environmental pollutants, and metabolic abnormalities. With a growing reliance on dialysis and a scarcity of kidney transplants, the prevalence of chronic kidney disease (CKD) is rapidly increasing both globally and in India. Despite their effectiveness, conventional treatments can have negative side effects and are expensive. Because of their long history of traditional use, affordability, and safety, herbal and plant-based medicines are gaining popularity. This review thoroughly identifies medicinal plants that have been shown to have nephroprotective potential against kidney damage caused by drugs and toxins. Antioxidant, anti-inflammatory, and free radical scavenging mechanisms are the main ways that plants like Allium sativum, Aloe vera, Azadirachta indica, Curcuma longa, Ginkgo biloba, Withania somnifera, and several others have nephroprotective benefits. Flavonoids, alkaloids, saponins, polyphenols, terpenoids, and glycosides are among the phytoconstituents that are accountable. The function of these medicinal herbs in maintaining renal structure and function is firmly supported by experimental and preclinical data. This study highlights the therapeutic potential of nephroprotective plants and encourages more research into them in order to create safer and more potent renal protective medicines.
Abstract: Because they control waste elimination, electrolyte composition, and fluid balance, kidneys are essential for preserving homeostasis. Acute and chronic kidney illnesses are largely caused by exposure to nephrotoxic substances, including medicines, environmental pollutants, and metabolic abnormalities. With a growing reliance on dialysis and a scarc...
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Research Article
Outcomes of Endoscopic Ablation of Posterior Urethral Valves in Children: A Retrospective Review
Issue:
Volume 10, Issue 1, June 2026
Pages:
35-41
Received:
22 February 2026
Accepted:
6 March 2026
Published:
17 March 2026
Abstract: Introduction: The management of posterior urethral valves is challenging in the absence of early diagnosis and optimal technical facilities. Once performed, endoscopic resection of the valves does not guarantee complete healing. The aim of our study was to investigate the outcome of patients treated for posterior urethral valves by endoscopic resection in two hospitals in the city of Yaounde. Materials and methods: This was a 5 years retrospective cross-sectional study conducted in two hospitals in the city of Yaounde from 2019 to 2024. All patients included had been treated for posterior urethral valves by endoscopic resection. Socio-demographic, diagnostic, therapeutic and prognostic variables were investigated. Results: A total of 35 patients were treated over the five-year period, with an admission rate of 6 cases per year. The median age at presentation was 02 years, and 29 participants (82.8%) presented late. Dysuria and recurrent urinary tract infections were the main reasons for consultation. Endoscopic valve ablation relieved obstruction in all participants except 5 (14.3%) who had residual valves. Creatinine levels and glomerular filtration rate before and after resection were measured in 15 participants; among them, 9 (47.5%) had renal insufficiency with a GFR < 60 ml/min/1.73 m2, which did not improve after valve resection. Uroflowmetry showed abnormalities in three patients with a Qmax < 15 ml/s. The mortality rate was 2.9%. Conclusion: Endoscopic resection of posterior urethral valves significantly improves micturition. Follow-up is necessary to prevent complications.
Abstract: Introduction: The management of posterior urethral valves is challenging in the absence of early diagnosis and optimal technical facilities. Once performed, endoscopic resection of the valves does not guarantee complete healing. The aim of our study was to investigate the outcome of patients treated for posterior urethral valves by endoscopic resec...
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Case Report
Clinical Application of Combined Cystoscopy and Laparoscopy for Vesicovaginal Fistula Repair in a Single Position: Six Cases Report and Experience
Fengmeng Ou,
Guikang Wang,
Jingwen Huang,
Bin Pan*
Issue:
Volume 10, Issue 1, June 2026
Pages:
42-47
Received:
3 March 2026
Accepted:
11 March 2026
Published:
23 March 2026
DOI:
10.11648/j.ijcu.20261001.18
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Abstract: Objective: To evaluate the clinical efficacy of combined cystoscopy and laparoscopy for vesicovaginal fistula repair in a single position. Methods: A retrospective analysis was conducted on the clinical data of 6 patients with vesicovaginal fistula treated in the Department of Urology, The First Affiliated Hospital of Jinan University from August 2017 to November 2023. All patients underwent a single-position cystoscopy combined with laparoscopic vesicovaginal fistula repair. Intraoperatively, the fistula was localized transurethrally via cystoscopy, and place ureteral stents. Simultaneously, laparoscopic repair of the fistula was performed via abdominal approach. Recording Surgical duration, intraoperative blood loss, length of hospital stay, intraoperative complications and postoperative complications. Results: All 6 patients underwent successful repair without conversion to open surgery. Operative time was 263.5±49.6 min, intraoperative blood loss was 35.0±20.7 ml, hospital stay was 15.5±5.4 days. At follow-up ranging from 3 to 12 months, no patients developed complications such as urinary leakage, and postoperative quality of life showed significant improvement. Conclusion: Combined cystoscopy and laparoscopy for vesicovaginal fistula repair in a single position avoids multiple repositioning, offering advantages such as simplified technique, short operative time, minimal trauma, and reducedloss blood. This approach represents a safe and effective therapeutic modality.
Abstract: Objective: To evaluate the clinical efficacy of combined cystoscopy and laparoscopy for vesicovaginal fistula repair in a single position. Methods: A retrospective analysis was conducted on the clinical data of 6 patients with vesicovaginal fistula treated in the Department of Urology, The First Affiliated Hospital of Jinan University from August 2...
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Case Report
Unusual Presentation of Emphysematous Cystitis: A Case Report and Review of the Literature
Ouienababo Delphine Ye*,
Abel Tadrist,
Abdoul-Karim Pare,
Eliane Elkhoury,
Eugenie Dicrocco,
Sinaly Soare,
Adama Ouattara,
Harry Toledano
Issue:
Volume 10, Issue 1, June 2026
Pages:
48-52
Received:
16 February 2026
Accepted:
2 March 2026
Published:
26 March 2026
DOI:
10.11648/j.ijcu.20261001.19
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Abstract: Emphysematous cystitis (EC) is a rare form of urinary tract infection characterized by the spontaneous formation of air which is floated in the bladder and/or bladder wall. The sometimes severe prognosis depends on the delay in management. We describe the case of a patient followed for multiple myeloma undergoing chemotherapy who presented with emphysematous cystitis in this context of immunosuppression, with a narrative review of the literature. A 77-year-old woman patient with multiple myeloma in the palliative stage of chemotherapy was brought to the emergency room by her family for unusual asthenia and diffuse pain that had been developing for 72 hours. The interview did not reveal any lower urinary tract symptoms or fever. The biological assessment revealed a biological inflammatory syndrome with a C-Reactiv Protein of 300 mg/l and hyperleukocytosis of 14,000 elements /mm3. The urine dipstick was positive for leukocytes and nitrites. In view of this major biological inflammatory syndrome with no real clinical urinary point of call, a thoraco-abdomino-pelvic CT scan without injection of contrast medium was carried out as a matter of urgency and revealed the presence of air bubbles in the bladder wall and the underlying soft tissues. Treatment consisted of trans-urethral bladder catheterisation and double antibiotic therapy with amiklin and imipenem. Cytobacteriological examination of the urine revealed quinolone-sensitive Escherichia coli at day 4, leading to a switch from TIENAM to ofloxacin for 14 days. A follow-up CT scan at day 7 showed regression of aerial infiltration of the bladder wall and extra-vesical aerial images. Emphysematous cystitis is a rare form of acute inflammation of the bladder mucosa and underlying muscularis. The clinical picture of emphysematous cystitis is often aspecific. The prognosis depends on the early diagnosis and the quality of the management, i.e. bladder drainage and broad-spectrum probabilistic antibiotic therapy.
Abstract: Emphysematous cystitis (EC) is a rare form of urinary tract infection characterized by the spontaneous formation of air which is floated in the bladder and/or bladder wall. The sometimes severe prognosis depends on the delay in management. We describe the case of a patient followed for multiple myeloma undergoing chemotherapy who presented with emp...
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Research Article
Simultaneous TURP and TURBT Is Oncologically Safe
Issue:
Volume 10, Issue 1, June 2026
Pages:
53-60
Received:
28 February 2026
Accepted:
11 March 2026
Published:
26 March 2026
DOI:
10.11648/j.ijcu.20261001.20
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Abstract: Background: Bladder cancer (BC) and benign prostatic hyperplasia (BPH) commonly coexist in elderly men, often necessitating transurethral resection of bladder tumor (TURBT) and transurethral resection of the prostate (TURP). Concerns have historically existed regarding the oncological safety of performing both procedures simultaneously, particularly due to the theoretical risk of tumor cell implantation in the prostatic fossa. Objective: To evaluate the oncological safety of simultaneous TURBT and TURP, with special emphasis on overall recurrence and prostatic urethral recurrence. Methods: This prospective observational study included 60 patients treated at the Department of Urology, Satkhira Medical College Hospital, from September 2023 to March 2025. Among them, 35 patients underwent simultaneous TURBT and TURP (Group 1), and 25 underwent TURBT alone (Group 2). Clinical, pathological, and follow-up data were analyzed using SPSS version 22. Student’s t-test and Chi-square or Fisher’s exact test were applied as appropriate. Statistical significance was set at p < 0.05. Results: Recurrence was observed in 11.4% of patients in the simultaneous group compared to 28.0% in the TURBT-only group; however, the difference was not statistically significant (p = 0.102). Prostatic fossa recurrence showed no significant difference between groups. Postoperative complications were comparable. Conclusion: Simultaneous TURBT and TURP is oncologically safe and does not increase recurrence risk. It can be considered a feasible surgical approach in appropriately selected patients.
Abstract: Background: Bladder cancer (BC) and benign prostatic hyperplasia (BPH) commonly coexist in elderly men, often necessitating transurethral resection of bladder tumor (TURBT) and transurethral resection of the prostate (TURP). Concerns have historically existed regarding the oncological safety of performing both procedures simultaneously, particularl...
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Research Article
The Role of Flexible Laser Ureterorenoscopy in the Management of Lithiaises of the Lower Calyceal Group ≥ 2cm
Mougougou Adrien,
Mbethe Dimitri*,
Ndang Ngou Milama Steevy,
Adande Menest Elvire Felicite,
Bissiriou Isoudine,
Idoukou Ted,
Nzalimbaninenou Mboula Pauline,
Allogho Mbouye Gloire,
Nguyen Akendengue Leslie
Issue:
Volume 10, Issue 1, June 2026
Pages:
61-64
Received:
2 March 2026
Accepted:
14 March 2026
Published:
27 March 2026
DOI:
10.11648/j.ijcu.20261001.21
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Abstract: Introduction: Lower calyceal stones account for 35% of urinary stones. However, little is known about their clinical and therapeutic epidemiology in Gabon. Objective: To evaluate the feasibility and results of flexible laser ureterorenoscopy in the management of stones larger than 2 cm located in the lower calyx. Patients and methods: We conducted a retrospective observational study over a period from January 2021 to September 2023. This was a single-centre study carried out at the Omar Bongo Ondimba Military Teaching Hospital in Libreville. We included 89 patients with lower calyceal stones treated with flexible laser ureterorenoscopy. Results: All patients had urolithiasis diagnosed on the basis of clinical findings and confirmed in 100% of cases by non-contrast thin-section CT scanning of the urinary tract. The mean age of patients was 35 ± 7 years, with extremes of 16 and 62 years, and a clear female predominance (54%). All stones were located in the lower calyx, with a predominance of calcium oxalate monohydrate stones (20%). Ninety-one per cent (91%) of patients had stones between 2.3 and 3 cm in size, and 9% (9 patients) had stones larger than 3 cm. Most stones were unilateral, with only 11 patients having bilateral stones. All patients were treated with URSS-YAG laser in its various modes. In total, we performed 97 procedures with a clearance rate of 91% and 100% after one and two sessions, respectively. The average length of hospitalisation was 1.5 days. Post-operative complications were minor in 100% of cases. Conclusion: Based on our results, laser URS appears to be the first-line treatment for stones greater than or equal to 2 cm located in the lower calyceal group in our context.
Abstract: Introduction: Lower calyceal stones account for 35% of urinary stones. However, little is known about their clinical and therapeutic epidemiology in Gabon. Objective: To evaluate the feasibility and results of flexible laser ureterorenoscopy in the management of stones larger than 2 cm located in the lower calyx. Patients and methods: We conducted ...
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Research Article
Endoscopic Internal Urethrotomy in the Management of Male Urethral Strictures
Issue:
Volume 10, Issue 1, June 2026
Pages:
65-70
Received:
4 March 2026
Accepted:
14 March 2026
Published:
27 March 2026
DOI:
10.11648/j.ijcu.20261001.22
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Abstract: Introduction: Endoscopic internal urethrotomy is the standard surgical treatment for short strictures of the male urethra. The objective was to evaluate the outcomes of endoscopic internal urethrotomy in the management of male urethral strictures. Materials and methods: This was a retrospective, cross-sectional descriptive study conducted in the urology department of the Pr Bocar Sidy Sall University Hospital in Kati over a 36-month period from January 1, 2022, to December 31, 2024. Results: We identified 40 patients who underwent endoscopic internal urethrotomy, representing a frequency of 6.2%. The mean age of our patients was 45.3 years, with a range from 16 to 90 years. The most frequent symptom was dysuria and pollakiuria, with a frequency of 42.5%. The diagnosis was confirmed in 75% of cases by UCR-M. The length of the strictures was 2 cm or less in 90% of cases. The stricture was located in the bulb of the urethra in 42.5% of cases. The etiology was predominantly iatrogenic in 52.5% of cases, followed by post-traumatic strictures in 22.5%. The average length of hospital stay was 3 days. The outcome was satisfactory in 87.5% of cases. Conclusion: Endoscopic internal urethrotomy is the standard treatment for short urethral strictures. It provides good functional and anatomical results.
Abstract: Introduction: Endoscopic internal urethrotomy is the standard surgical treatment for short strictures of the male urethra. The objective was to evaluate the outcomes of endoscopic internal urethrotomy in the management of male urethral strictures. Materials and methods: This was a retrospective, cross-sectional descriptive study conducted in the ur...
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