Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023

Benjamin Kouame; Ali Drabo; Felicite Nykan Kramo; Issoufou Coulibaly; Tano Kouamé William Armand

doi:doi:10.11648/j.ijcu.20250902.20

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Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023

Benjamin Kouame^*

, Ali Drabo

, Felicite Nykan Kramo

, Issoufou Coulibaly

, Tano Kouamé William Armand

Published in International Journal of Clinical Urology (Volume 9, Issue 2)

Received: 28 September 2025 Accepted: 9 October 2025 Published: 30 October 2025

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Abstract

Objective: To describe the epidemiological and clinical aspects of urethral strictures in men in the urology department of the Cocody University Hospital over a period of 20 years and to analyze the evolution of their characteristics according to the periods. Methodology: This is a retrospective, descriptive and comparative study conducted at the urology department of the Cocody University Hospital. All records of male patients hospitalized for urethral stricture between January 2003 and December 2023 were included. Data were extracted using a standardized form and then analyzed using Statistical Package for the Social Sciences (SPSS) 17.0 and Epi Info 7 software. 2. Statistical tests were used to assess significance (p < 0.05). Results: Out of a total of 9,134 records, 204 cases of urethral stricture were collected, representing a hospital prevalence of 2.2%. The most affected age group was 28-38 years (33.2%), and the majority of patients were married (79.15%) and civil servants (46.60%). The bulbar site was the most frequent (82.78%) and long strictures (>3 cm) dominated (58.31%). Traumatic etiology increased from 34.09% to 51.73% between the two periods, while infectious forms decreased from 45.45% to 29.31% (p < 0.01). Conclusion: At the end of this retrospective descriptive and analytical study carried out over a period of 20 years (2003-2023) in the urology department of the CHU of Cocody, it appears that urethral strictures remain a frequent pathology, mainly affecting young and active men, with a stable hospital prevalence of 2.2%. The comparative analysis of the two decades reveals that traumatic etiology has become the primary cause in the recent period while the infectious forms that were once dominant are in clear decline.

Published in	International Journal of Clinical Urology (Volume 9, Issue 2)
DOI	10.11648/j.ijcu.20250902.20
Page(s)	163-169
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Urethral Stricture, Urethral Stenoses, Epidemiology, Cocody University Hospital, Trauma, Urethritis, Iatrogenicity

References

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[2]	Santucci RA, Joyce GF, Wise M. Male Urethral Stricture Disease. Journal of Urology. May 2021; 177(5): 1667-74.
[3]	De Sy W, Oosterlinck W. Urethral strictures male - lin. Treatment of male urethral strictures. Acta Urol Belg 2014; 49: 93-250.
[4]	Andrich DE, O’Malley KJ, Summerton DJ, Greenwell TJ, Mundy AR. The type of urethroplasty for a pelvic fracture ure- thral distraction defect cannot be predicted preoperatively. J Urol 2013; 170: 464-7.
[5]	Ndemanga Kamoune J, Doui Doumgba A, Khaltan E, Mamadou Nali N. Male urethral strictures Bangui (CAR): Epidemiological approach based on 69 files collected at the urology department of the Amitié hospital. Black African Medicine. 2006; 53(12): 645-50.
[6]	Djè K, Gouli JC, Coulibaly M, Sanogo Y, N' guessan K. Endoscopic internal urethrotomy in the treatment of acquired urethral strictures in black African adults. African Journal of Urology and Andrology. 2023; 6(2): 1-5.
[7]	Halidou M, Adamou H, Hassane DM, Habou M, Gagara S, Abdou S. Epidemiological, clinical and therapeutic profiles of male urethral stricture at the National Hospital of Zinder (HNZ), Niger. European Scientific Journal. 2020; 16(9): 103-120.
[8]	Barbagli G, Sansalone S, Romano G, Lazzeri M. Clinical outcome and quality of life assessment after bulbar urethroplasty: Comparison of different techniques. Urology. 2022; 80(1): 190-195.
[9]	Haider M. Outcomes Improvement in Global Surgery: A Case Study of Urethral Stricture Management in Senegal [Master’s thesis]. Seattle: University of Washington; 2018. Disponiblesur: https://digital.lib.washington.edu/researchworks/handle/1773/42047
[10]	Pansadoro V, Emiliozzi P. Internal urethrotomy in the management of anterior urethral strictures: long-term followup. J Urol. 1996 Jul; 156(1): 73-5.
[11]	Palminteri E, Berdondini E, Verze P, De Nunzio C, Vitarelli A, Carmignani L. Contemporary urethral stricture characteristics in the developed world. Urology. 2019; 81(1): 191-7.
[12]	Cissé D, Diallo M, Diakité A, Traoré A, Koné M, Traoré D, Traoré K, Dembélé S, Thiam D, Guindo O. Lower urinary tract firearm injuries during a security crisis at Sominé Dolo Hospital in Mopti (Mali): Epidemiological and diagnostic aspects. Progress in Urology. 2023; 33: 463-468.
[13]	Lumen N, Hoebeke P, Willemsen P, Oosterlinck W. Etiology of urethral stricture disease: An analysis of 268 patients. Urologia Internationalis. 2019; 82(3): 365-368.

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APA Style

Kouame, B., Drabo, A., Kramo, F. N., Coulibaly, I., Armand, T. K. W. (2025). Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023. International Journal of Clinical Urology, 9(2), 163-169. https://doi.org/10.11648/j.ijcu.20250902.20

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ACS Style

Kouame, B.; Drabo, A.; Kramo, F. N.; Coulibaly, I.; Armand, T. K. W. Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023. Int. J. Clin. Urol. 2025, 9(2), 163-169. doi: 10.11648/j.ijcu.20250902.20

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AMA Style

Kouame B, Drabo A, Kramo FN, Coulibaly I, Armand TKW. Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023. Int J Clin Urol. 2025;9(2):163-169. doi: 10.11648/j.ijcu.20250902.20

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@article{10.11648/j.ijcu.20250902.20,
  author = {Benjamin Kouame and Ali Drabo and Felicite Nykan Kramo and Issoufou Coulibaly and Tano Kouamé William Armand},
  title = {Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023
},
  journal = {International Journal of Clinical Urology},
  volume = {9},
  number = {2},
  pages = {163-169},
  doi = {10.11648/j.ijcu.20250902.20},
  url = {https://doi.org/10.11648/j.ijcu.20250902.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.20},
  abstract = {Objective: To describe the epidemiological and clinical aspects of urethral strictures in men in the urology department of the Cocody University Hospital over a period of 20 years and to analyze the evolution of their characteristics according to the periods. Methodology: This is a retrospective, descriptive and comparative study conducted at the urology department of the Cocody University Hospital. All records of male patients hospitalized for urethral stricture between January 2003 and December 2023 were included. Data were extracted using a standardized form and then analyzed using Statistical Package for the Social Sciences (SPSS) 17.0 and Epi Info 7 software. 2. Statistical tests were used to assess significance (p Results: Out of a total of 9,134 records, 204 cases of urethral stricture were collected, representing a hospital prevalence of 2.2%. The most affected age group was 28-38 years (33.2%), and the majority of patients were married (79.15%) and civil servants (46.60%). The bulbar site was the most frequent (82.78%) and long strictures (>3 cm) dominated (58.31%). Traumatic etiology increased from 34.09% to 51.73% between the two periods, while infectious forms decreased from 45.45% to 29.31% (p Conclusion: At the end of this retrospective descriptive and analytical study carried out over a period of 20 years (2003-2023) in the urology department of the CHU of Cocody, it appears that urethral strictures remain a frequent pathology, mainly affecting young and active men, with a stable hospital prevalence of 2.2%. The comparative analysis of the two decades reveals that traumatic etiology has become the primary cause in the recent period while the infectious forms that were once dominant are in clear decline.
},
 year = {2025}
}

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TY  - JOUR
T1  - Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023

AU  - Benjamin Kouame
AU  - Ali Drabo
AU  - Felicite Nykan Kramo
AU  - Issoufou Coulibaly
AU  - Tano Kouamé William Armand
Y1  - 2025/10/30
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcu.20250902.20
DO  - 10.11648/j.ijcu.20250902.20
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 163
EP  - 169
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20250902.20
AB  - Objective: To describe the epidemiological and clinical aspects of urethral strictures in men in the urology department of the Cocody University Hospital over a period of 20 years and to analyze the evolution of their characteristics according to the periods. Methodology: This is a retrospective, descriptive and comparative study conducted at the urology department of the Cocody University Hospital. All records of male patients hospitalized for urethral stricture between January 2003 and December 2023 were included. Data were extracted using a standardized form and then analyzed using Statistical Package for the Social Sciences (SPSS) 17.0 and Epi Info 7 software. 2. Statistical tests were used to assess significance (p Results: Out of a total of 9,134 records, 204 cases of urethral stricture were collected, representing a hospital prevalence of 2.2%. The most affected age group was 28-38 years (33.2%), and the majority of patients were married (79.15%) and civil servants (46.60%). The bulbar site was the most frequent (82.78%) and long strictures (>3 cm) dominated (58.31%). Traumatic etiology increased from 34.09% to 51.73% between the two periods, while infectious forms decreased from 45.45% to 29.31% (p Conclusion: At the end of this retrospective descriptive and analytical study carried out over a period of 20 years (2003-2023) in the urology department of the CHU of Cocody, it appears that urethral strictures remain a frequent pathology, mainly affecting young and active men, with a stable hospital prevalence of 2.2%. The comparative analysis of the two decades reveals that traumatic etiology has become the primary cause in the recent period while the infectious forms that were once dominant are in clear decline.

VL  - 9
IS  - 2
ER  -

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Author Information

Benjamin Kouame

Urology Department of the University Hospital Center, Université Félix Houphouët-Boigny, Cocody-Abidjan, Côte d'Ivoire

Contact Email

http://orcid.org/0009-0005-4449-0309
Ali Drabo

Urology Department of the University Hospital Center, Université Félix Houphouët-Boigny, Cocody-Abidjan, Côte d'Ivoire

Contact Email

http://orcid.org/0009-0007-8723-3868
Felicite Nykan Kramo

Urology Department of the University Hospital Center, Université Félix Houphouët-Boigny, Cocody-Abidjan, Côte d'Ivoire

Contact Email

http://orcid.org/0009-0006-0425-5723
Issoufou Coulibaly

Urology Department of the University Hospital Center, Université Félix Houphouët-Boigny, Cocody-Abidjan, Côte d'Ivoire

Contact Email

http://orcid.org/0009-0003-5333-7862
Tano Kouamé William Armand

Urology Department of the University Hospital Center, Université Félix Houphouët-Boigny, Cocody-Abidjan, Côte d'Ivoire

Contact Email

http://orcid.org/0009-0005-8432-1585

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APA Style

Kouame, B., Drabo, A., Kramo, F. N., Coulibaly, I., Armand, T. K. W. (2025). Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023. International Journal of Clinical Urology, 9(2), 163-169. https://doi.org/10.11648/j.ijcu.20250902.20

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ACS Style

Kouame, B.; Drabo, A.; Kramo, F. N.; Coulibaly, I.; Armand, T. K. W. Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023. Int. J. Clin. Urol. 2025, 9(2), 163-169. doi: 10.11648/j.ijcu.20250902.20

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AMA Style

Kouame B, Drabo A, Kramo FN, Coulibaly I, Armand TKW. Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023. Int J Clin Urol. 2025;9(2):163-169. doi: 10.11648/j.ijcu.20250902.20

Copy | Download

@article{10.11648/j.ijcu.20250902.20,
  author = {Benjamin Kouame and Ali Drabo and Felicite Nykan Kramo and Issoufou Coulibaly and Tano Kouamé William Armand},
  title = {Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023
},
  journal = {International Journal of Clinical Urology},
  volume = {9},
  number = {2},
  pages = {163-169},
  doi = {10.11648/j.ijcu.20250902.20},
  url = {https://doi.org/10.11648/j.ijcu.20250902.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.20},
  abstract = {Objective: To describe the epidemiological and clinical aspects of urethral strictures in men in the urology department of the Cocody University Hospital over a period of 20 years and to analyze the evolution of their characteristics according to the periods. Methodology: This is a retrospective, descriptive and comparative study conducted at the urology department of the Cocody University Hospital. All records of male patients hospitalized for urethral stricture between January 2003 and December 2023 were included. Data were extracted using a standardized form and then analyzed using Statistical Package for the Social Sciences (SPSS) 17.0 and Epi Info 7 software. 2. Statistical tests were used to assess significance (p Results: Out of a total of 9,134 records, 204 cases of urethral stricture were collected, representing a hospital prevalence of 2.2%. The most affected age group was 28-38 years (33.2%), and the majority of patients were married (79.15%) and civil servants (46.60%). The bulbar site was the most frequent (82.78%) and long strictures (>3 cm) dominated (58.31%). Traumatic etiology increased from 34.09% to 51.73% between the two periods, while infectious forms decreased from 45.45% to 29.31% (p Conclusion: At the end of this retrospective descriptive and analytical study carried out over a period of 20 years (2003-2023) in the urology department of the CHU of Cocody, it appears that urethral strictures remain a frequent pathology, mainly affecting young and active men, with a stable hospital prevalence of 2.2%. The comparative analysis of the two decades reveals that traumatic etiology has become the primary cause in the recent period while the infectious forms that were once dominant are in clear decline.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Descriptive, Comparative and Epidemiological Study of Urethral Strictures from 2003-2013 Versus 2014-2023

AU  - Benjamin Kouame
AU  - Ali Drabo
AU  - Felicite Nykan Kramo
AU  - Issoufou Coulibaly
AU  - Tano Kouamé William Armand
Y1  - 2025/10/30
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcu.20250902.20
DO  - 10.11648/j.ijcu.20250902.20
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 163
EP  - 169
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20250902.20
AB  - Objective: To describe the epidemiological and clinical aspects of urethral strictures in men in the urology department of the Cocody University Hospital over a period of 20 years and to analyze the evolution of their characteristics according to the periods. Methodology: This is a retrospective, descriptive and comparative study conducted at the urology department of the Cocody University Hospital. All records of male patients hospitalized for urethral stricture between January 2003 and December 2023 were included. Data were extracted using a standardized form and then analyzed using Statistical Package for the Social Sciences (SPSS) 17.0 and Epi Info 7 software. 2. Statistical tests were used to assess significance (p Results: Out of a total of 9,134 records, 204 cases of urethral stricture were collected, representing a hospital prevalence of 2.2%. The most affected age group was 28-38 years (33.2%), and the majority of patients were married (79.15%) and civil servants (46.60%). The bulbar site was the most frequent (82.78%) and long strictures (>3 cm) dominated (58.31%). Traumatic etiology increased from 34.09% to 51.73% between the two periods, while infectious forms decreased from 45.45% to 29.31% (p Conclusion: At the end of this retrospective descriptive and analytical study carried out over a period of 20 years (2003-2023) in the urology department of the CHU of Cocody, it appears that urethral strictures remain a frequent pathology, mainly affecting young and active men, with a stable hospital prevalence of 2.2%. The comparative analysis of the two decades reveals that traumatic etiology has become the primary cause in the recent period while the infectious forms that were once dominant are in clear decline.

VL  - 9
IS  - 2
ER  -

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