The Recurrence of Stricture in Postoperative Patients at Dr. Soetomo Hospital from 2013-2017: A Case-Control Study

Abstract

Background: Urethral stricture is one of urology disease that commonly occurs in men with the incidence increase above 54 years old. Urethroplasty was an effective management option for almost all types of stricture and remained as the gold standard. Recurrence of stricture is one of complication that can occur after operative treatment. Methods: A case-control study with secondary data of all patients treated and undergoing operative management of the anterior-posterior urethral stricture in Dr. Soetomo Hospital from January 2013 to December 2017. Diabetes mellitus, hypertension, urine culture, and previous history of sachse were as independent variables. The data described by the distribution table and continued by Chi-square test using the SPSS application. P-value <0.05 showed significant. Results: Total of 117 samples divided into 53 samples as case groups. The mean age was 44.58 ± 18.08. Most of the samples were male (94.9%), and 41.9% had previous sachse history. Only 13.7% had diabetes mellitus and 27.4% in hypertension. Iatrogenic as most common aetiology and pars membranous was the most common location of stricture. Positive urine culture occurs in 53% of the sample. Mean length of the stricture was 1.43 ± 1.27 cm. The recurrence rate was 6.98 ± 2.67 months. There were significant relationships between diabetes mellitus (OR=6.608; p=0.002), urine culture (OR=15.551; p<0.001), and previous sachse surgery history (p<0.001) with the recurrence of urethral stricture. But there was no significant relationship between hypertension and recurrence of stricture. Conclusion: There is a significant relationship between diabetes mellitus comorbid, positive urine culture, history of sachse on the recurrence of urethral stricture.
Keywords: Urethral stricture, Recurrence, Postoperative.