- UAA Congress 2025

Final Presentation Format

Podium Abstract

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Presentation Date / Time

Submission Status

Submitted

Abstract

Abstract Title

Management for Long Segment Stricture: A Systematic Review and Meta-Analysis

Presentation Type

Podium Abstract

Manuscript Type

Meta Analysis / Systematic Review

Abstract Category *

Functional Urology: Reconstructive Surgery

Author's Information

Number of Authors (including submitting/presenting author) *

5

No more than 10 authors can be listed (as per the Good Publication Practice (GPP) Guidelines).
Please ensure the authors are listed in the right order.

Country

Indonesia

Co-author 1

Nyoman Gede Prayudi prayudi_blonx@yahoo.com RSUP Ngoerah Hospital, Denpasar, Bali Department of Urology Universitas Udayana Denpasar Indonesia *

Co-author 2

Gede Wirya Kusuma Duarsa gwkduarsa@gmail.com RSUP Ngoerah Hospital, Denpasar, Bali Department of Urology Universitas Udayana Denpasar Indonesia -

Co-author 3

Kadek Budi Santosa busanbsa@gmail.com RSUP Ngoerah Hospital, Denpasar, Bali Department of Urology Universitas Udayana Denpasar Indonesia -

Co-author 4

I Wayan Yudiana yanyud@yahoo.com RSUP Ngoerah Hospital, Denpasar, Bali Department of Urology Universitas Udayana Denpasar Indonesia -

Co-author 5

Pande Wisnu Tirtayasa wisnu.tirtayasa@gmail.com Universitas Udayana Hospital, Denpasar, Bali Department of Urology Universitas Udayana Denpasar Indonesia -

Co-author 6

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Co-author 7

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Co-author 9

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Co-author 10

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Co-author 11

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Co-author 12

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Co-author 13

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Co-author 14

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Co-author 15

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Co-author 16

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Abstract Content

Introduction

One of the more difficult surgical issues for reconstructive urologists to handle is long-segment urethral stricture. The common perception is that the respective treatment intents of the two procedures are intrinsically different. Therefore, our study aims to evaluate the outcome staged-urethroplasty and perineum urethrostomy in long-segment urethral stricture

Materials and Methods

The literature search (PubMed/MEDLINE, ScienceDirect, and Scopus) following the PRISMA guidelines through January 2025 that focused on comparing the outcome, quality of life, and complication rate. The risk of bias evaluation will be assessed according to ROB2.

Results

Among 379 articles identified, 4 studies with 537 patients was included in the analysis. The pooled analysis showed that staged-urethroplasty had a higher complication rate or stricture recurrence rate [p=0.03; OR= 1.56; 95%CI, 1.03 – 2.37; I2=0%], but the erectile function score was higher than perineum urethrostomy [p=0.03; MD= 3.19; 95%CI, 0.19 – 6.19; I2=68%; p=0.68]. The urination function showed a comparable result

Conclusions

The staged urethroplasty preserve better erectile function, although the stricture recurrence was more frequent

Keywords

complex stricture, long segment, uretroplasty

Figure 1

https://storage.unitedwebnetwork.com/files/1237/d8787ab2f63c8c7b4722427d38812aac.png

Figure 1 Caption

a) Complication / Stricture Recurrence Rate

Figure 2

https://storage.unitedwebnetwork.com/files/1237/ab8b88ace0c3423ae26e8c81de68a2e4.png

Figure 2 Caption

b) IIEF-5 Score

Figure 3

Figure 3 Caption

Figure 4

Figure 4 Caption

Figure 5

Figure 5 Caption

Character Count

1659

Vimeo Link

Presentation Details

Session

Free Paper Podium(15): Functional Urology (A)

Date

Aug. 16 (Sat.)

Time

14:36 - 14:42

Presentation Order

12