Urethral stricture; etiology, presentation, complications, and outcome of management at Gezira state, central Sudan

The objective is to evaluate urethral strictures in term of etiological factors, presentations and management at GHRDS, Gezira State, Central Sudan. One hundred sixty patients, who were diagnosed as urethral stricture, were enrolled in this study. All patients were dealt with through a scientific stratum of a thorough work up and managed according to the EAU guidelines. The bio-data, etiological factors of strictures, presenting symptoms and signs, the pathological types and modalities of treatment were recorded and analyzed. The total number of patients was 160, only two females and the rest were males. The mean age was 46.2 +/- 2 years. The etiological factors were: post-surgical in 67 patients [41.9%], gonococcal urethritis in 48 patients [30%] followed by post traumatic stricture in 28 patients [17.5%]. Concerning the sites 41 [25.6%] patients had bulbar urethral stricture and 24 [15%] with membranous urethra strictures. One hundred forty two [88.8%] patients were treated with visual internal urethrotomy [VIU] and the outcome of treatment was comparable to the literature. The commonest etiological factors for urethral strictures in GHRDS were post-surgery followed by gonococcal urethritis. The outcome of management was comparable

Retropublic prostatectomy in 96 patients in Soba university hospital

Retropubic prostatectomy [RPP], is a good treatment option for men with symptomatic bladder outlet obstruction caused by large size prostate. To determine the intraoperative, early and late postoperative complications of retropubic prostatectomy. This is a retrospective, small-scale hospital based study conducted in Soba University Hospital, Sudan. We include 96 patients, from Jan 2003 to Jan 2008 who underwent RPP. The mortality rate was zero. Retrograde ejaculation in 50.1%, clot retention due to catheter block in 36.5% and transient urinary incontinence in 24%, all were improved within the first three months postoperatively and intraoperative bleeding was reported in 9 patients [10%]. Erectile dysfunction in 7.5%, wound infection in 6.3%, urethral stricture in 5.2%, urine leakage in 4.2% and injury to adjacent structures [peritoneum-bowel] was not reported. The complications of retropubic prostatectomy in Soba Hospital was found to be comparable to the literature