Opinion: Anastomotic Urethroplasty

Update on managing anterior urethral strictures

“…[ 48 ] The appropriate maximal stricture length, which might be approached by EPA, ranges from 1 to 4.5 cm. [ 19 49 50 51 ] The impact of EPA on postoperative erectile dysfunction after anterior urethroplasty is controversial. While the SIU/ICUD consultation on urethral strictures and other authors do not attach too much importance to the association of EPA and postoperative erectile dysfunction,[ 46 52 53 ] there are some studies showing a significant impairment.…”