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All Journal Jurnal Kedokteran Brawijaya Medical Journal of Indonesia Indonesian Journal of Urology Neurologico Spinale Medico Chirurgico Jurnal Klinik dan Riset Kesehatan Indonesian Andrology and Biomedical Journal Brawijaya Journal of Urology
Paksi Satyagraha
Department Of Urology, Faculty Of Medicine, Brawijaya University, Saiful Anwar General Hospital Malang, East Java
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Medical Journal of Indonesia

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Incidence of urethral stricture in patients with urethral trauma: a 10-year experience in an Indonesian tertiary hospital Satyagraha, Paksi; Lazuardi, Muhammad Adi Satrio; Budaya, Taufiq Nur
Medical Journal of Indonesia Vol. 33 No. 1 (2024): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247152

Abstract

BACKGROUND Urethral injuries are rarely life-threatening but can cause significant morbidity if left untreated. Until now, data on urethral trauma incidence are still limited in Indonesia. This study aimed to report the incidence of traumatic urethral stricture within 10 years of experience in treating urethral trauma. METHODS This retrospective study used a total sampling method for all patients with urethral trauma who came to the emergency department and agreed to undergo radiological evaluation. Patient data were collected from January 2012 to December 2021. All patients were followed up for 3 months after trauma, and the incidence of urethral stricture was analyzed using the chi-square or Fisher's exact tests as an alternative. RESULTS The overall incidence of urethral stricture was 48.4%. Of 122 patients, 82.0% had anterior urethral trauma. Grade III American Association for the Surgery of Trauma (43.4%) was the most common urethral trauma. The cause of urethral trauma was iatrogenic, pelvic fracture urethral injury (PFUI), straddle injury, and penile fracture, contributing in 64.8%, 18.0%, 16.4%, and 0.8% of the cases, respectively. Most patients (70.5%) underwent a cystostomy catheterization procedure as initial treatment. Straddle injury, PFUI, and a higher degree of urethral trauma were significantly associated with urethral stricture formation (p<0.05). CONCLUSIONS Straddle injury, PFUI, and a higher degree of urethral trauma were significantly related to a higher incidence of urethral stricture. Most low-grade and anterior urethral traumas can resolve spontaneously.
Co-Authors A.A. Ketut Agung Cahyawan W Akhmad Adhi, Ryan Akmal Fawzi Ambeng, Yudi Basuki B. Purnomo Besut Daryanto Dhani, Fauzan Kurniawan Dicky Faizal Irnandi Edi Wibowo Erawati, Dini Gede Wirya Diptanala Putra Duarsa Gede Wirya Kusuma Duarsa Hanggara, Dian Sukma I Gusti Lanang Andi Suharibawa Ida Bagus Putra Pramana Kurnia Penta Seputra Kurnia Penta Seputra Kurniawan Dhani, Fauzan Kustono, Andri Lazuardi, Muhammad Adi Satrio Marta Hendry, Marta Muhammad Ilham Negara, Edvin Prawira Nikmatus Sholihah Nur Budaya, Taufiq Nurhadi, Pradana Penta Seputra, Kurnia Pradana Nurhadi Pradana Nurhadi Prasetyo Nugroho Purnomo, Athaya Febriantyo Rabbani, Ahmad Zahid Rahmat Husein Rasyidan Yulizar, Deddy Rhomdhon, Andrie Rizqi, Putri Soetojo Soetojo Sulistyanti, Rachma Fitri Tarmono Djojodimedjo Taufiq Nur Budaya