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Urethral Stricture and HIV: Unusual Presentations and Treatment Challenge
Chane, D; Getahun, G. M.
  • Chane, D; s.af
  • Getahun, G. M; s.af
Afr. j. urol. (Online) ; 16(4): 124-127, 2010.
Artículo en Inglés | AIM | ID: biblio-1258096
ABSTRACT

Objective:

The clinico-pathologic features of urethral stricture in patients with HIV/AIDS are not yet clearly described in the literature. HIV/AIDS has changed the natural course and clinical features of most infectious diseases. We describe some of the features of post-inflammatory strictures associated with HIV Infection and assess the treatment challenges and outcomes of other causes of urethral stricture. Patients and

Methods:

Consecutive men with urethral stricture who presented to the University Hospital of Gondar; North-West Ethiopia were enrolled. The HIV status; cause of the stricture; type of treatment and outcome were recorded.

Results:

There were 25 post-traumatic and 15 post-gonococcal urethral strictures. All posttraumatic and 5 of the post-gonococcal urethral stricture patients were HIV negative. All 10 HIV positive patients had longer and denser urethral strictures than expected. The time between gonococcal infection and urethral stricture development was 3-5 years in HIV positive patients. The treatment of post-traumatic stricture included progressive perineal anastomotic urethroplasty and a good outcome was seen in more than 95. However; the surgical treatment of patients with HIV infection was a challenge.

Conclusion:

If post-inflammatory urethral stricture occurs in a young man where the time between known gonococcal infection and development of stricture is short (less than 5 years); HIV coinfection is most likely. The stricture in these patients will be longer and denser and not amenable to conventional endoscopic urethrotomy
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Índice: AIM (África) Asunto principal: Pacientes / Universidades / Estrechez Uretral / Seropositividad para VIH / Hospitales Idioma: Inglés Revista: Afr. j. urol. (Online) Año: 2010 Tipo del documento: Artículo

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Índice: AIM (África) Asunto principal: Pacientes / Universidades / Estrechez Uretral / Seropositividad para VIH / Hospitales Idioma: Inglés Revista: Afr. j. urol. (Online) Año: 2010 Tipo del documento: Artículo