[Interventional and surgical treatment of urethral strictures. End-to-end anastomosis].
Excision with primary anastomosis is an excellent reconstructive option for short bulbar and membranous urethral strictures. With adequate patient selection including history, physical examination, and radiographic staging success rates between 90 and 95% in appropriately selected patients can be achieved. Success with this reliable method is based on adequate excision of the complete urethral stricture and sufficient mobilization of the urethra with tension-free anastomosis. Complications affecting ejaculation or penile sensitivity are rare and might be avoided by appropriate surgical techniques. Resection of the stricture and urethral end-to-end anastomosis represents the "gold-standard" in the treatment of bulbar and membraneous strictures up to a length of 3 cm.
Spahn
M
M
Klinik und Poliklinik für Urologie und Kinderurologie, Universitätsklinik Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Germany. Spahn_M@klinik.uni-wuerzburg.de
Kocot
A
A
Riedmiller
H
H
D000714:Anastomosis, Surgical / Q000379:methods*; D019985:Benchmarking; D002408:Catheters, Indwelling; D019317:Evidence-Based Medicine; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018579:Patient Selection; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D014463:Ultrasonography; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000175:diagnosis / Q000601:surgery*; D014567:Urography