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Assessment of maximal urinary flow rate (Qmax ) of urethral stricture patients three maxweeks post internal urethrotomy Sachse in Dr. Sardjito General Hospital Yogyakarta

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Urethral stricture is a common urologic problem in developing countries including lndonesia due to its high prevalence. Internal urethrotomy is still the gold standard to return patients to a state of normal voiding. To evaluate the outcome of the internal urethrotomy, uroflowmetry assessment can be conducted with its principal variable of maximal urinary flow rate (Omax). Since 1985, in Dr. Sardjito General Hospital, Yogyakarta, the internal urethrotomy has been used as the main treatment modality to manage the urethral stricture. However, its outcome has not been evaluated.
The aim of th is study was to evaluate Omax of urethral stricture patients post internal urethrotomy Sachse in. Dr. Sardjito General Hospital. This was a cross-sectional study performed starting from November 2009 to April 2010. The Omax was assessed using the uroflowmeter three weeks after internal urethrotomy. The length and the locations of the patients' stricture, as well as its correlation with Omax were also measured and evaluated. Among 24 patients selected, 13 patients who fulfilled the inclusion and exclusion criteria were involved in this study. The mean of the Omax of patients was 22.3 ± 6.7 mL/s. The mean of Qmax of patients who had the length of urethral stricture of < 2 cm (14.8 ± 3.8 mL/s) was significantly higher than patients who had length of> 2 cm (6.4±2.6 mUs) (p=0.03), whereas patients who had the location of urethral stricture on anterior (12.4 ± 5.4 ML/s) were not significantly different compared to patients who had those on posterior (8.5 ± 4.9 mL/s) (p = 0.398).
In conclusion, the majority of patients returned to a state of normal urinary tract function post internal urethrotomy. The Qmax of urethral stricture patients after internal urethrotomy are influenced by the length of the stricture but not by its location .

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Series Title

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Call Number

Journal of the Medical Sciences, 44 (2) 2012 : 191

Publisher

Yogyakarta : FK Universitas Gajah Mada Yogyakarta., 2012

Collation

6

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ISBN/ISSN

0126-1312

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Subject(s)

URINARY TRACT
URETHRAL STRICTURE

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