The Nontransecting Approach to Bulbar Urethroplasty

Stella Ivaz; Simon Bugeja; Anastasia Frost; Daniela Andrich; Anthony R Mundy

doi:10.1016/j.ucl.2016.08.012

The Nontransecting Approach to Bulbar Urethroplasty

Urol Clin North Am. 2017 Feb;44(1):57-66. doi: 10.1016/j.ucl.2016.08.012.

Authors

Stella Ivaz¹, Simon Bugeja¹, Anastasia Frost¹, Daniela Andrich¹, Anthony R Mundy²

Affiliations

¹ Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK.
² Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK; UCLH NHS Foundation Trust, Trust Headquarters, 2nd Floor Central, 250 Euston Road, London NW1 2PG, UK. Electronic address: [email protected].

PMID: 27908372
DOI: 10.1016/j.ucl.2016.08.012

Abstract

The standard treatment of bulbar urethral strictures of appropriate length is excision and primary anastomosis (EPA), irrespective of the cause of the stricture. This involves transection of the corpus spongiosum (CS) and disruption of the blood flow within the CS as a consequence. The success rate of EPA in curing these strictures is very high, but there is a considerable body of evidence and of opinion to suggest that there is a significant risk of sexual dysfunction and, potentially, of other adverse consequences that occur because of transection of the CS.

Keywords: Urethral reconstruction; Urethral stricture; Urethroplasty.

Publication types

Review

MeSH terms

Anastomosis, Surgical
Humans
Male
Plastic Surgery Procedures / methods*
Urethra / surgery*
Urethral Stricture / surgery*
Urologic Surgical Procedures, Male / methods*