Non-transecting bulbar urethroplasty is favored over transecting techniques.

Abstract:

PURPOSE:To present current evidence supporting the vessel sparing technique to reconstruct bulbar urethral strictures via primary anastomosis. METHODS:English literature review of presented series of transecting and non-transecting bulbar urethroplasty from 2000 to 2018. RESULTS:Since its introduction in 2007, vessel-sparing excision and primary anastomosis (VS-EPA) has been utilized in multiple centers across the world. Success rates range from 90 to 98%, comparable to traditional transecting EPA. Complication rates and erectile function outcomes are similar or better in VS-EPA, according to recent publications. CONCLUSIONS:Non-transection excision and primary anastomosis is a well-tolerated, highly successful reconstructive option for short bulbar urethral strictures in appropriately selected patients. Results are comparable with traditional transecting anastomosis and mid-term multinational follow-up has proven efficacy and safety of the technique. Further well-designed multi-institutional studies are necessary to determine superiority to traditional EPA in terms of surgical outcomes and erectile function preservation.

journal_name

World J Urol

journal_title

World journal of urology

authors

Virasoro R,DeLong JM

doi

10.1007/s00345-019-02867-8

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

3013-3018

issue

12

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-019-02867-8

journal_volume

38

pub_type

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