Excision of urethral stricture and end to end anastomosis

End‐to‐end urethroplasty: long‐term results

“…In 1983, Chilton et al [11] treated all but 5% of 261 patients endoscopically for urethral stenosis, although even then there were already reports of numerous series in which cure rates were 80-95% with end-to-end anastomosis [12]. In 1993 Mundy [13] noted that most urethral strictures were still treated by urethrotomy and/or dilatation, and asserted that urethroplasty had a minor role, being indicated only in patients with particularly complex strictures, or in whom previous treatments had failed.…”

“…Excision of the stricture, with primary anastomosis, is conceptually the simplest open surgical approach, giving cure rates close to 100% in appropriately selected patients (Table 2) [2,12,[15][16][17]. The indications must be clear and patients must be strictly selected to comply with these criteria; the stricture must be <3 cm long and in the bulbous urethra.…”

Opinion: Anastomotic Urethroplasty

“…Adequate urethral length after transection is essential for a tension-free anastomotic repair. Despite traditional recommendations that the EPA technique be limited to strictures 2 cm or less long ( 21 ), our experience suggests that this underestimates the potential urethral length that can be mobilized via a perineal dissection ( 22 ). Male urethra has been shown to be exceptionally extensible, with a possible additional 65% of length obtained after mobilization, allowing for a tension-free anastomosis even in longer strictures ( 23 ).…”

Die Therapie der stumpfen hinteren Harnröhrenverletzung

“…Technik, die er auch auf komplexe hintere Hamröhrenstrikturen anscheinend mit Erfolg anwandte[75]. Ergebnisse der Resektion von Harnröhrenstrikturen und schrägen End-zu-End-Anastomosen wurde von mehreren Autoren in den 70er Jahren publiziert[1,7,74,76]. Chatelain et al wandten diese Technik bei frischen Traumen und Strikturen an[7].…”