Urethral dilation effect on recurrence urethral stricture after internal urethrotomy  

Oleh:

Hapsari, Edhi ; Hamid, Agus Rizal A. H. ; Rodjani, Arry ; Firdaoessaleh ; Danarto, H. R.

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Jurnal Urologi Indonesia (Indonesian Journal of Urology) vol. 20 no. 01 (Jan. 2013), page 1-4.
Topik: Urethral dilation; anterior urethral stricture; stricture recurrence.

Ketersediaan

Perpustakaan FK Nomor Panggil: J33.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective: The aim is to evaluate the effect of urethral dilation on anterior urethral stricture recurrences after direct vision internal urethrotomy (DVIU). Material & Method: Patients were classified into 2 groups after internal urethrotomy for urethral dilation or observation. All strictures included were anterior, single, and causing partial obstruction. Urethral dilation was performed using a metal sound This procedure was performed every 1 or 2 weeks in the first and second month after operation and then once a month for I rear or in case of voiding complaints or low flow rate (< 10 mlJs). Follow up at least until 1 year after DVIU. Results: A total of 32 cases could be reviewed, of which are 21 had urethral dilation and 11 observation only, in the urethral dilation group, we found 4 recurrences (19%) with mean time to recurrence I0,'52 months. In the observation group, we found 7 recurrent cases (63,63%) with a mean time to recurrence of 8,09 months. P value is 0,02 which means urethral dilation significantly decreased the chance of stricture recurrence. By Kaplan Meier survival analysis, urethral dilation had a better and longer time to recurrence. Conclusion: In this .study, regular ineatal dilation is proven to prolong the time to recurrence of an anterior urethral stricture after DVIU.

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