TY - JOUR
T1 - Bulbar urethroplasty
T2 - Transecting vs. nontransecting techniques
AU - Barbagli, Guido
AU - Sansalone, Salvatore
AU - Romano, Giuseppe
AU - Lazzeri, Massimo
PY - 2012/11
Y1 - 2012/11
N2 - PURPOSE OF REVIEW: To transect or not to transect the bulbar urethra in nontraumatic urethral strictures still remains an issue that is open to debate. Herewith, we evaluate and compare the results of these two different options in the treatment of bulbar urethral strictures. RECENT FINDINGS: In 404 patients, bulbar urethroplasty using transecting techniques (end-to-end anastomosis and augmented anastomotic repair) provided a success rate ranging from 90 to 98.6%. In 522 patients, bulbar urethroplasty using nontransecting techniques (nontransecting anastomotic urethroplasty and simple oral grafting techniques) provided approximately the same success rate, ranging from 81.8 to 100%. SUMMARY: Future studies, including more homogenous series of patients and subjective evaluation of urinary and sexual complications after repair, are necessary to surely establish the gold standard of treatment for nontraumatic strictures located in the proximal bulbar urethra.
AB - PURPOSE OF REVIEW: To transect or not to transect the bulbar urethra in nontraumatic urethral strictures still remains an issue that is open to debate. Herewith, we evaluate and compare the results of these two different options in the treatment of bulbar urethral strictures. RECENT FINDINGS: In 404 patients, bulbar urethroplasty using transecting techniques (end-to-end anastomosis and augmented anastomotic repair) provided a success rate ranging from 90 to 98.6%. In 522 patients, bulbar urethroplasty using nontransecting techniques (nontransecting anastomotic urethroplasty and simple oral grafting techniques) provided approximately the same success rate, ranging from 81.8 to 100%. SUMMARY: Future studies, including more homogenous series of patients and subjective evaluation of urinary and sexual complications after repair, are necessary to surely establish the gold standard of treatment for nontraumatic strictures located in the proximal bulbar urethra.
KW - augmented anastomotic repair
KW - bulbar urethra
KW - end-to-end anastomosis
KW - oral mucosal graft urethroplasty
KW - urethral stricture
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U2 - 10.1097/MOU.0b013e32835749be
DO - 10.1097/MOU.0b013e32835749be
M3 - Article
C2 - 22825459
AN - SCOPUS:84867582981
VL - 22
SP - 474
EP - 477
JO - Current Opinion in Urology
JF - Current Opinion in Urology
SN - 0963-0643
IS - 6
ER -