{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:14:11Z","timestamp":1768004051131,"version":"3.49.0"},"reference-count":0,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Ital Urol Androl"],"abstract":"<jats:p>Introduction: Excision and primary anastomosis (EPA) urethroplasty is the standard treatment for traumatic urethral strictures, but managing\u00a0them remains challenging for urologists. Identifying factors leading to EPA urethroplasty failure benefits both patients and\u00a0surgeons. This study aims to analyze risk factors for urethral stricture recurrence after one-year follow-up of EPA urethroplasty.Materials and methods: Data on male patients undergoing EPA urethroplasty at the Urology Department of Saiful Anwar\u00a0General Hospital from January 2013 until December 2023 were prospectively recorded. Successful urethroplasty, defined as the\u00a0absence of additional treatment necessity, was assessed until 12 months follow-up. Demographic data, time to surgery, stricture\u00a0etiology, comorbidities, prior urethral interventions, and operation\u00a0steps were recorded. Univariate and multivariate Cox regression analyses were performed using IBM SPSS Statistics\u00a0version 21.Result: Total 95 patients were observed, and 89 patients were\u00a0included, averaging 41.2 \u00b1 15.59 years old. EPA urethroplasty succeeded in 91% of cases over a median follow-up of 16.3\u00a0months. Pelvic fracture urethral injury (PFUI) was the predominant etiology in 74% of cases, with an average stricture length\u00a0of 25.4 \u00b1 16.3 mm. The average time to surgery was performed on average 6.67 \u00b1 4.07 months after diagnosis. In univariate\u00a0analysis, body mass index (BMI), time to surgery, and stricture length were associated with urethral stricture recurrence.\u00a0However, only time to surgery showed a significant association in multivariate analysis.Conclusions: Obesity, the length of the stricture, and delayed surgical intervention are associated with an increased risk of urethral stricture recurrence in patients following EPA. EPA urethroplasty demonstrates a high success rate in managing traumatic urethral strictures.<\/jats:p>","DOI":"10.4081\/aiua.2025.13268","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T10:56:48Z","timestamp":1737716208000},"source":"Crossref","is-referenced-by-count":1,"title":["Ten years\u2019 single surgeon experience of excision and primary anastomosis urethroplasty for traumatic urethral stricture: an analysis of risk factors for urethral stricture recurrence"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9174-2629","authenticated-orcid":false,"given":"Paksi","family":"Satyagraha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3983-8816","authenticated-orcid":false,"given":"Edi","family":"Wibowo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0776-1633","authenticated-orcid":false,"given":"Besut","family":"Daryanto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5719-9071","authenticated-orcid":false,"given":"Gede Wirya Diptanala Putra","family":"Duarsa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0073-0938","authenticated-orcid":false,"given":"Adrianus Gupta","family":"Wijaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8861-3482","authenticated-orcid":false,"given":"Fauzan Kurniawan","family":"Dhani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2025,1,23]]},"container-title":["Archivio Italiano di Urologia e Andrologia"],"original-title":[],"link":[{"URL":"https:\/\/www.pagepressjournals.org\/aiua\/article\/download\/13268\/12767","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepressjournals.org\/aiua\/article\/download\/13268\/12767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T10:56:48Z","timestamp":1737716208000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.pagepressjournals.org\/aiua\/article\/view\/13268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4081\/aiua.2025.13268","relation":{},"ISSN":["2282-4197","1124-3562"],"issn-type":[{"value":"2282-4197","type":"electronic"},{"value":"1124-3562","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1,23]]}}}