#1292

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

N. Prayudi¹, G. Duarsa¹, K. Santosa¹, I. Yudiana¹, P. Tirtayasa²

¹RSUP Ngoerah Hospital, Denpasar, Bali, Department of Urology Universitas Udayana, Denpasar, Indonesia
²Universitas Udayana Hospital, Denpasar, Bali, Department of Urology Universitas Udayana, Denpasar, Indonesia

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

Material 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