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Journal : Griya Widya: Journal of Sexual and Reproductive Health

Peran Bedah Rekonstruksi Uretra dalam Memulihkan Fungsi Reproduksi pada Pria dengan Cedera Urogenital Basalamah, Muhammad Fachrurrozy; Suryoadji, Kemal Akbar; Surya Putra, Abdul Hafiidh
Griya Widya: Journal of Sexual and Reproductive Health Vol. 3 No. 2 (2024): Griya Widya: Journal of Sexual and Reproductive Health
Publisher : Nur Science Institute and Perkumpulan Keluarga Berencana Indonesia (PKBI) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/griyawidya.v3i2.1688

Abstract

Background:  This review evaluates urethral reconstruction’s effectiveness in fertility restoration. Methods: A systematic review was conducted using PubMed, Scopus, and Cochrane databases. Studies on anastomotic urethroplasty, buccal mucosa graft (BMG) urethroplasty, and acellular dermal matrix (ADM) grafts were analyzed. Outcomes included patency rates, ejaculatory function, erectile function, and fertility restoration, along with postoperative complications and long-term reproductive outcomes. Results: Anastomotic urethroplasty achieved >90% patency for strictures <2 cm, with 100% antegrade ejaculation restoration in pelvic fracture cases. BMG urethroplasty showed an 85.7–100% success rate for strictures >3 cm, with 76% reporting improved ejaculation force. ADM grafts had a 94% success rate in complex cases. Erectile dysfunction occurred in 9.7% but resolved within 6–20 months. Discussion: Urethral reconstruction restores patency and ejaculation in >85% of cases, but fertility outcomes depend on factors like testicular atrophy and neurovascular integrity. Non-transecting techniques reduce vascular complications, and early intervention aids spermatogenesis preservation. A multidisciplinary approach integrating andrology and assisted reproductive techniques is crucial.
Hubungan antara Prostatitis Kronis dan Gangguan Reproduksi Pria: Tinjauan Literatur Terkini Surya Putra, Abdul Hafiidh; Suryoadji, Kemal Akbar; Achmadsyah, Armand; Birowo, Ponco
Griya Widya: Journal of Sexual and Reproductive Health Vol. 5 No. 1 (2025): Griya Widya: Journal of Sexual and Reproductive Health
Publisher : Nur Science Institute and Perkumpulan Keluarga Berencana Indonesia (PKBI) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/griyawidya.v5i1.1798

Abstract

Background: This literature review aims to present the latest scientific findings that explain the relationship between chronic prostatitis and male reproductive disorders. Method: This study was a narrative literature review that identified articles from PubMed, Scopus, and Google Scholar using the keywords "chronic prostatitis", "CP/CPPS", "male infertility", "erectile dysfunction", and "ejaculatory dysfunction". Inclusion criteria include publications in the last 10 years that discuss the association between chronic prostatitis and male reproductive disorders. The data were analyzed descriptively to identify patterns of interdependence. Results: Data synthesis showed that chronic prostatitis was associated with a significant decrease in sperm concentration, motility, morphology, and viability. Patients also had a threefold risk of erectile dysfunction, as well as a high prevalence of painful ejaculation (30–65%) and premature ejaculation (±40%). Inflammatory mechanisms and oxidative stress have been shown to play an important role in pathogenesis, while multimodal therapies, including antibiotics, antioxidants, PDE5 inhibitors, phytotherapy, and pelvic floor physiotherapy, show better effectiveness than monotherapy. Implications: These results confirm the need to evaluate the reproductive aspect in patients with chronic prostatitis, as well as a multidisciplinary approach to improve quality of life and fertility. Novelty: This study presents an up-to-date comprehensive review that integrates clinical evidence, pathophysiology, and therapeutic strategies, thereby enriching understanding and supporting the development of more effective management.