Urethral stricture in single center tertiary hospital: An evolution of management
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Primaditya 1 , Muhammad Kemal Thariq Ibrahim 1 , Nanda Daniswara 2 3 4 * , Ardy Santosa 3 4 , Mohammad Adi Soedarso 3 4 , Eriawan Agung Nugroho 3 4 , Sofyan Rais Addin 3 4 , Dimas Sindhu Wibisono 4 5 , Fandy Wicaksono 4 5 , Donny Austine Wibisono 4 5 , Febri Bimayana 6
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1 Urology Resident, Faculty of Medicine Diponegoro University, Semarang, INDONESIA2 Indonesian Genitourinary Reconstruction Section (InaGURS), INDONESIA3 Urology Division, Department of Uronephrology, Dr. Kariadi Ministry of Health Hospital, Semarang, INDONESIA4 Urology Division, Department of Surgery, Faculty of Medicine Diponegoro University, Semarang, INDONESIA5 Department of Urology, Diponegoro National Academic Hospital, Semarang, INDONESIA6 General Surgery Resident, Department of Surgery, Faculty of Medicine Diponegoro University, Semarang, INDONESIA* Corresponding Author

Abstract

Introduction and objectives: Urethral stricture (US) management is complex and requires evaluation. The emergence of reconstructive approach is a revolutionary change. Thus, a reconstructive urologist may alter the quality of US management for further improvements.
Materials and methods: We retrospectively reviewed the medical records of US patients underwent surgery from January 2013 to December 2022 divided into two groups before and after reconstructive urologist presence in our center to analyze the significance of reconstructive approach.
Results: Out of 360 patients, 171 in group A and 189 in group B. The most common etiology is trauma, mostly located in posterior. DVIU was the most performed procedure in group A, while in group B was urethroplasty. We identified significance (p < 0.05) between the two groups regarding the clinical outcomes.
Conclusion: In our experience, there are shifting in management of US from endoscopic to urethral reconstruction that improved the clinical outcomes in our center.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, Volume 23, Issue 4, August 2026, Article No: em742

https://doi.org/10.29333/ejgm/18971

Publication date: 15 Jul 2026

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