Eksisi dan anastomosis primer memberikan luaran nilai Qmax, penggunaan clean intermitten catheterization, dan penile perception scores yang lebih baik dibandingkan terapi minimal invasif pada penanganan striktur uretra posterior parsial di Bali

Background: Posterior urethral stricture (PUS) is a narrowing of the posterior urethral opening caused by a buildup of collagen and fibroblasts by various causes. Handling the disease is curatively by surgery where there are several surgical techniques in which the success rate and risk of recurrence differ according to the technique of the operation performed. Therefore, this study aims to determine the differences in Excision and Primary Anastomosis (EPA) techniques with Minimal Invasive Therapy (MIT) against Qmax, clean intermittent characterization (CIC), and penile perception scores (PPS) in patients with posterior urethral stricture Methods: A multicentre retrospective cohort study was conducted at 34 partial SUP patients performed at the Urology Polyclinic Sanglah, Balimed, Dharma Yadnya, Surya Husadha and Ganesha General Hospital from September 2018-January 2019. A total of 17 patients underwent EPA and 17 others used MIT in January 2014– 2019. A comparison of maximal urine emission values (Qmax), use of additional instruments in the form of CIC, and PPS carried out by researchers at the time of postoperative control patients. Data were analyzed using SPSS version 25. Results: There was no difference in the average age of patients between both groups, 44.2 ± 15.9 years old for the EPA and 54.2 ± 16.3 years old in the MIT group (P> 0.05). From the statistical analysis, the EPA value was significantly different from MIT on the Qmax assessment (p <0.001; mean difference: 13.1; 95% IK: 7.721 -18.544), CIC utilization (p = 0.007), and PPS score (p = 0.003). Conclusion: EPA gives superior results than MIT on Qmax values, use of additional tools in the form of CIC and satisfaction with operating results as measured by PPS Keywords: Posterior Urethral Stress, Primary Anastomosis Excision, Clean Intermittent Catheterization, Penile Perception Score, Qmax Cite This Article: Subnafeu, R., Duarsa, G.W.K., Mahadewa, T.G.B. 2019. Eksisi dan anastomosis primer memberikan luaran nilai Qmax, penggunaan clean intermitten catheterization, dan penile perception scores yang lebih baik dibandingkan terapi minimal invasif pada penanganan striktur uretra posterior parsial di Bali. Medicina 50 (1): 104-108. DOI: 10.15562/ism.v50i1.686