PMID: 11912394Mar 26, 2002Paper

Anastomotic urethroplasty for bulbar urethral stricture: analysis of 168 patients

The Journal of Urology
Richard A SantucciJack W McAninch

Abstract

We reviewed our experience with anastomotic urethroplasty for anterior urethral stricture. A chart review revealed 168 patients 6 to 82 years old (mean age 38) with at least 6 months of followup (mean 70, range 6 to 291) after anastomotic urethroplasty. Average stricture length was 1.7 cm. Of the 168 patients stricture recurred in 8 (5%) but was managed by direct vision internal urethrotomy or a single dilation in 5, while repeat urethroplasty was required in 3 (2%). In these 3 cases extenuating circumstances included patient dislodgment of the catheter with attempts to replace it that disrupted repair, a history of urethrocutaneous fistula and periurethral abscess, and previous irradiation complicating the stricture in 1 each. Other complications were uncommon, such as transient thigh pain or numbness in 3 patients (2%), small wound dehiscence in 2 (1%), and scrotal hematoma, erectile dysfunction and self-limited pulmonary edema in 1 (less than 1%) each. Anastomotic urethroplasty for anterior stricture has a high success rate of 95%. It is technically straightforward and complications are uncommon. Cure by anastomotic urethroplasty should be strongly favored over long-term management by direct vision internal urethrotomy or di...Continue Reading

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Citations

Feb 24, 2007·International Urology and Nephrology·Yew-Lam Chong, Khai-Lee Toh
Oct 30, 2009·International Urology and Nephrology·Tawfik H Al-Ba'adaniIbraheim El-Nono
Sep 9, 2006·Current Urology Reports·Sean P Elliott, Jack W McAninch
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Jul 24, 2013·Korean journal of urology·Jun-Gyo SuhSoo Woong Kim
Sep 18, 2013·Korean journal of urology·Young Ju Lee, Soo Woong Kim

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