Post-TURP Urethral Stricture Cases in Jakarta: a Survey-Based Study of Urologists' Clinical Experience

Abstract

Urethral stricture is a common late complication after transurethral resection of the prostate (TURP) procedure, but the incidence is varied. The objective of this study was to explore urologists’ general clinical practices in performing TURP and to identify reported occurrences of post-TURP urethral strictures and associated procedural factors, based on a regional survey of urologists. This cross-sectional study used a self-designed online questionnaire, targeting all registered urologists in Jakarta and several surrounding areas. A total of 73 urologists completed the questionnaire. In Jakarta, the number of post-TURP stricture cases reported by individual urologists ranged from 2 to 10 cases annually. Most urologists performed a low number of TURP procedures (43.8%), with the majority completing the procedure in less than 60 minutes (89%). A German-manufactured resectoscope was predominantly used (87.7%), along with monopolar energy (76.7%), and warm irrigation was generally not employed (94.5%). The postoperative catheter dwelling time was predominantly 3–7 days (78.1%). Most respondents (86.3%) reported having encountered at least one post-TURP urethral stricture during their practice. Most strictures were located in the bulbomembranous urethra (68.5%) and were primarily managed using internal urethrotomy (61.9%). In conclusion, although exact incidence rates were not determined, most urologists in Jakarta reported experience with post-TURP stricture cases. Internal urethrotomy and urethral dilation were the most reported treatment methods, although treatment outcomes remain unclear.