[Clinical and bacteriological aspects of urinary infections associated with male urethral stenosis]

Urinary infections are extremely frequent in male urethral stenosis. We analyse in the present work its real incidence, clinical and microbiological aspects, complications and morbidity, in a group of 175 male patients presenting urethral stenosis evaluated in our hospital during a period of time of 11 year. We point out the high incidence of urinary infections which in our study affected 36% of patients. It was caused in 90% of cases by a single bacteria, 44% of which were due to Escherichia Coli. It had a high morbidity with complications appearing in 42 of the patients presenting urethral stenosis and urinary infection (67%), and requiring surgery in 19 cases. On the other hand, urinary infection is an important etiological factor in the genesis of urinary stenosis, finding a direct post-infection etiology in 19% of the studied stenosis. To conclude the present study, we can deduce that when presented with a case of a male patient affected of urethral stenosis, we must think of a possible infective mechanism, existing also a great probability that his urine is still infected by the causing or other micro-organism.