MALE URETHRAL STRICTURE CHARACTERISTIC IN DR KARIADI GENERAL HOSPITAL SEMARANG: A DESCRIPTIVE STUDY

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Published 2021-07-15
Erwin Parulian Pasaribu Nanda Daniswara Ardy Santosa Eriawan Agung Nugroho M. Adi Soedarso Sofyan Rais Adin

Abstract

Objective: This research was conducted to describe male urethral stricture characteristic in Kariadi General Hospital Semarang. Material & Methods: The data is collected retrospectively from the male urethral stricture patient medical records Kariadi General Hospital Semarang between January 2013 until December 2017. The data is analyzed descriptively to describe the characteristics of male urethral stricture patients, patient age, etiology, site, definitive surgery, and complications. Results: Within the period, 171 patients with male urethral stricture. The mean age was 52.11 years (range 9-86). The causes of stricture were trauma in 145 patients (84.8%), infection in 25  patients (14.6%) and iatrogenic in 1 patients (0.06%). Strictures site were posterior in 146 patients (85.4%) and anterior in 25 patients (14.6%). The definitive surgery for strictures were from DVIU in 132 patients (77.2%) and urethroplasty in 39 patients (22.8%). Complications rate were recurrence of stricture 56 patients (32.74%), bleeding 6 patients (3.05%), extravasation 14  patients (8.18%), erectile dysfunction 4 patients (2.34%). Conclusion: Trauma is the leading cause of urethral stricture in Kariadi General Hospital. The most common definitive therapy for urethral stricture in Kariadi General Hospital was still DVIU, but there has been an increase for urethroplasty and we still get the learning curve for it.


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Keywords

Urethral stricture, trauma, DVIU, urethroplasty

References

Sievert KD, Selent-Stier C, Wiedemann J, et al. Introducing a large animal model to create urethral stricture similar to human stricture disease: a comparative experimental microscopic study. J Urol. 2012; 187: 1101–1109.

Das S, Tunuguntla HS. Balanitis xerotica obliterans-a review. World J Urol. 2000; 18: 382–387.

Figler BD, Hoffler CE, Reisman W, Carney KJ, Moore T, Feliciano D, Master V. Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries. Injury. 2012 Aug; 43(8): 1242-9.

Lumen N, Hoebeke P, Willemsen P, De Troyer B, Pieters R, Oosterlinck W. Etiology of urethral stricture disease in the 21st century. J Urol. 2009; 182: 983–987.

Fenton AS, Morey AF, Aviles R, Garcia CR. Anterior urethral strictures: etiology and characteristics.Urology. 2005; 65: 1055–1058.

Brandes SB. Totowa. Urethral Reconstructive Surgery. Humana Press; 2008.

Pansadoro V, Emiliozzi P. Internal urethrotomy in the management of anterior urethral strictures: long-term follow-up. J Urol. 1996; 156: 73–75.

Barbagli G, Guazzoni G, Lazzeri M. One-stage bulbar urethroplasty: retrospective analysis of the results in 375 patients. EurUrol. 2008; 53: 828–833.

Andrich DE, Mundy AR. What is the best technique for urethroplasty? Eur Urol.2008; 54: 1031–1041.

Mundy AR. Reconstruction of the urethra after pelvic trauma. Acta Urol Belg. 1998; 66.

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Department of Urology, Faculty of Medicine/Airlangga University