Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon

Introduction. Urethral strictures in boys denote narrowing of the urethra which can be congenital or acquired. In case of acquired strictures, the etiology is iatrogenic or traumatic and rarely infectious or inflammatory. The aim of this study was to highlight the diagnostic and therapeutic difficul...

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Main Authors: F. F. Mouafo Tambo, G. Fossi kamga, C. Kamadjou, L. Mbouche, A. S. Nwaha Makon, J. Birraux, O. G. Andze, F. F. Angwafo, P. Y. Mure
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2016/2586458
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author F. F. Mouafo Tambo
G. Fossi kamga
C. Kamadjou
L. Mbouche
A. S. Nwaha Makon
J. Birraux
O. G. Andze
F. F. Angwafo
P. Y. Mure
author_facet F. F. Mouafo Tambo
G. Fossi kamga
C. Kamadjou
L. Mbouche
A. S. Nwaha Makon
J. Birraux
O. G. Andze
F. F. Angwafo
P. Y. Mure
author_sort F. F. Mouafo Tambo
collection DOAJ
description Introduction. Urethral strictures in boys denote narrowing of the urethra which can be congenital or acquired. In case of acquired strictures, the etiology is iatrogenic or traumatic and rarely infectious or inflammatory. The aim of this study was to highlight the diagnostic and therapeutic difficulties of acquired nontraumatic urethral strictures in boys in Yaoundé, Cameroon. Methodology. The authors report five cases of nontraumatic urethral strictures managed at the Pediatric Surgery Department of the YGOPH over a two-year period (November 2012–November 2014). In order to confirm the diagnosis of urethral stricture, all patients were assessed with both cystourethrography and urethrocystoscopy. Results. In all the cases the urethra was inflammatory with either a single or multiple strictures. The surgical management included internal urethrotomy (n=1), urethral dilatation (n=1), vesicostomy (n=2), and urethral catheterization (n=3). With a median follow-up of 8.2 months (4–16 months) all patients remained symptoms-free. Conclusion. The authors report the difficulties encountered in the diagnosis and management of nontraumatic urethral strictures in boys at a tertiary hospital in Yaoundé, Cameroon. The existence of an inflammatory etiology of urethral strictures in boys deserves to be considered.
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spelling doaj-art-f11ede2f436b4762ba9f827afad515aa2025-02-03T01:22:22ZengWileyCase Reports in Urology2090-696X2090-69782016-01-01201610.1155/2016/25864582586458Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, CameroonF. F. Mouafo Tambo0G. Fossi kamga1C. Kamadjou2L. Mbouche3A. S. Nwaha Makon4J. Birraux5O. G. Andze6F. F. Angwafo7P. Y. Mure8Pediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonPediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonPediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonPediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonPediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonUniversity of Geneva Teaching Hospital, Genève, SwitzerlandPediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonPediatric Surgery Service, Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH), Yaoundé, CameroonLyon Teaching Hospital, Lyon, FranceIntroduction. Urethral strictures in boys denote narrowing of the urethra which can be congenital or acquired. In case of acquired strictures, the etiology is iatrogenic or traumatic and rarely infectious or inflammatory. The aim of this study was to highlight the diagnostic and therapeutic difficulties of acquired nontraumatic urethral strictures in boys in Yaoundé, Cameroon. Methodology. The authors report five cases of nontraumatic urethral strictures managed at the Pediatric Surgery Department of the YGOPH over a two-year period (November 2012–November 2014). In order to confirm the diagnosis of urethral stricture, all patients were assessed with both cystourethrography and urethrocystoscopy. Results. In all the cases the urethra was inflammatory with either a single or multiple strictures. The surgical management included internal urethrotomy (n=1), urethral dilatation (n=1), vesicostomy (n=2), and urethral catheterization (n=3). With a median follow-up of 8.2 months (4–16 months) all patients remained symptoms-free. Conclusion. The authors report the difficulties encountered in the diagnosis and management of nontraumatic urethral strictures in boys at a tertiary hospital in Yaoundé, Cameroon. The existence of an inflammatory etiology of urethral strictures in boys deserves to be considered.http://dx.doi.org/10.1155/2016/2586458
spellingShingle F. F. Mouafo Tambo
G. Fossi kamga
C. Kamadjou
L. Mbouche
A. S. Nwaha Makon
J. Birraux
O. G. Andze
F. F. Angwafo
P. Y. Mure
Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon
Case Reports in Urology
title Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon
title_full Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon
title_fullStr Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon
title_full_unstemmed Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon
title_short Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon
title_sort challenges in the diagnosis and management of acquired nontraumatic urethral strictures in boys in yaounde cameroon
url http://dx.doi.org/10.1155/2016/2586458
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