Bladder Outlet Obstruction: Etiological Pattern in Southwestern Nigeria

Abstract

Background: Bladder outlet obstruction (BOO) is a clinical condition that is characterized by impediment to the flow of urine. It affects all age groups with varying etiologies. The pattern of this clinical condition in our setting is unknown. This study aimed at determines the clinico-epidemiological pattern of BOO in southwestern Nigeria. Method: We retrospectively reviewed the case files of patients that were managed for BOO over a period of 10years in our center. Results: A total of 784 patients were managed for BOO during the period under review. Their median age was 65.9years and in all, 486 patients of in the study group had benign prostatic hyperplasia (BPH) was the most common diagnosis followed by prostate cancer, urethral strictures and neurogenic bladder. While prostate cancer, urethral stricture, neurogenic bladder, bladder cancer, and bladder stone were diagnosed in 181, 90, 20, 5, and 2 patients, respectively. Conclusion: We have done an overview of a clinico-epidemiological pattern of BOO in southwest Nigeria is documented. The most common cause of BOO in men was while in women. It was neurogenic bladder syndrome.