Abstract
Substitution urethroplasty or anastomotic urethroplasty for bulbar urethra strictures? Or endoscopic urethrotomy? Opinion: Anastomotic Urethroplasty.
Highlights
direct vision internal urethrotomy (DVIU) remains the most frequently used treatment for anterior urethral stricture, despite its inferior results compared to urethroplasty [1, 3, 13]
Review of our institutional database (2007-2014) identified 348 patients who underwent bulbar excision and primary anastomotic (EPA) urethroplasty, the most common technique utilized at our facility (35% of all urethroplasties)
Adequate urethral length after transection is essential for a tension-free anastomotic repair
Summary
DVIU remains the most frequently used treatment for anterior urethral stricture, despite its inferior results compared to urethroplasty [1, 3, 13]. Review of our institutional database (2007-2014) identified 348 patients who underwent bulbar EPA urethroplasty, the most common technique utilized at our facility (35% of all urethroplasties). Success, defined as the absence of any additional urethral instrumentation, was achieved in 325/348 (93.4%) patients, a rate on par with that of the contemporary literature [6]. Patient follow up averaged 39.4 months and stricture length averaged 2.1 cm.
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