title: The Nontransecting Approach to Bulbar Urethroplasty.
abstract: The standard treatment of bulbar urethral strictures of appropriate length is excision and primary anastomosis (EPA), irrespective of the cause of the stricture. This involves transection of the corpus spongiosum (CS) and disruption of the blood flow within the CS as a consequence. The success rate of EPA in curing these strictures is very high, but there is a considerable body of evidence and of opinion to suggest that there is a significant risk of sexual dysfunction and, potentially, of other adverse consequences that occur because of transection of the CS.
authors.affiliation: Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK.
authors.forename: Stella
authors.initials: S
authors.lastname: Ivaz
authors.affiliation: Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Bugeja
authors.affiliation: Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Frost
authors.affiliation: Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK.
authors.forename: Daniela
authors.initials: D
authors.lastname: Andrich
authors.affiliation: Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK; UCLH NHS Foundation Trust, Trust Headquarters, 2nd Floor Central, 250 Euston Road, London NW1 2PG, UK. Electronic address: tony.mundy@uclh.nhs.uk.
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Mundy
mesh_terms: D000714:Anastomosis, Surgical; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
keywords: Urethral reconstruction; Urethral stricture; Urethroplasty