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ARTICLE
Year : 2001  |  Volume : 6  |  Issue : 1  |  Page : 22-25

Serial catheter dilatation versus intermittent bouginage in the management of uethral stricture


Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria

Correspondence Address:
Oyiogu Francis Nnatchey Ozoemena
Urology Unit, Dept of Surgery UNTH, Enugu
Nigeria
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Source of Support: None, Conflict of Interest: None


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Aim: To determine the relative effectiveness of treatment of urethral structure by intermittent bouginage and serial catheter dilatation. It also compared the cost implications, complications and patient's acceptance of the two methods. Patients and Methods: This is a prospective study involving a total of 87 patients attending the urology clinic at UNTH from the 1st of January 1995 to 31st December, 1999 inclusive. These patients were randomly grouped into two: group A includes those treated by intermittent bouginage while group B are those by serial catheter dilatation. The study involved meticulous documentation of the cost treatment, assessment of treatment results in terms of how satisfied the patients felt with the treatment-options. The complications and acceptance rates were also recorded. Results: There were 35 patients in Group A and 52 in Group B. Sixty five percent of the patients were aged between 30 and 60 years making up 75% of the total patients. The compliance rate at 5 years was 51% for group A and 94% for group B. It costs a total of four thousand five hundred and eighty five naira (N4,585.00) now for intermittent bouginage and two thousand one hundred and eighty naira only (N2,180.00) for serial catheter dilatations. The complications were higher with intermittent bouginage than with serial catheter dilatation except the psychological burden, which was more with serial catheter dilatations. Conclusions: It is unequivocally obvious that serial catheter dilatation is cheaper, has a better acceptance and associated with minimal complications compared to intermittent bouginage. Serial catheter dilatation is more cost-effective than intermittent bouginage. It is therefore recommended.


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