Excision and primary anastomotic urethroplasty

Abstract

Objective: To retrospectively review patients with strictures (<3 cm) of the bulbous urethra who had Undergone urethroplasty with excision of the stenotic segment and end-to-end anastomosis. Patients and Methods: One hundred patients were analyzed, all males with ages ranging from 18 to 60 who were treated for strictures between 5 and 30 mm in length between 2007 and 2021. Endoscopic internal urethrotomy was used in the treatment of 65 patients (%), and three patients (20()) had internal urethrotomy performed on them twice. The removal & primary anastomotic urethroplasty were performed on all patients. With the patient in a lithotomy posture, the stenotic segment was removed and the stumps spatulated for end-to-end anastomosis through a perineal incision. The average (range) time of an operation was 119 (75-150) minutes. Although one patient underwent revision surgery for a perineal urine fistula, the surgery itself and the time spent in the position of lithotomy were both uneventful. Results: After a median of 12 months of observation, 95% of patients were deemed cured since the stricture had not returned. Perineal urinary fistula and recurring stricture occurred in one case. No other adverse events occurred as a result of the treatment.