title: Analysis of short-term results of monsieur's tunica albuginea urethroplasty as a definitive procedure for pan-anterior urethral stricture.
abstract: BACKGROUND
  Long anterior urethral strictures are fairly common in developing world and the treatment is equally challenging.
  
  
  OBJECTIVE
  To assess the results and efficacy of Monsieur's Tunica Albuginea Urethroplasty (TAU) for anterior urethral stricture.
  
  
  METHODS
  We analyzed the results in 10 consecutive patients with pan-anterior urethral stricture, who underwent Monsieur's urethroplasty.
  
  
  METHODS
  The procedure involves mobilization of strictured urethra and laying it open with a dorsal slit. Edges of the slit-open urethra are sutured to edges of the urethral groove to the tunica of corporal bodies with catheter in situ. Results were assessed postoperatively 3, 6, 9 and 12 months. Patients were categorized as success and failure by comparative analysis of patient satisfaction along with urethroscopy, retrograde urethrogram, uroflowmetry. All patients were taken for post-operative urethroscopic analysis at 6 months to allow better understanding of both successful and failed cases.
  
  
  RESULTS
  Mean follow-up of 15.2 (11-19) months showed an 80% success rate. Mean uroflow rate showed Qmax 24.5 cc/sec with 8 cases showing no residual or recurrent stricture. Two cases failed and required intervention. Urethroscopic visualization of the reconstruction site showed wide, patent and distensible neourethra appearing epithelized over roof formed by tunica albuginea of the corpora cavernosa in successful cases.
  
  
  CONCLUSIONS
  Monsieur's TAU is effective technique in treatment of anterior urethral stricture especially cases with unavailable buccal mucosa, with results fairly acceptable at the end of one year.
authors: Department of Urology, Institute of NephroUrology, Bangalore, Karnataka, India.
authors: Adittya K
authors: AK
authors: Sharma
authors: C S
authors: CS
authors: Ratkal
authors: M
authors: M
authors: Shivlingaiah
authors: G N
authors: GN
authors: Girish
authors: R P
authors: RP
authors: Sanjay
authors: G K
authors: GK
authors: Venkatesh
keywords: Stricture; anterior urethra; buccal mucosa; substitution urethroplasty