Two-stage urethroplasty. Improved method for treating bulbomembranous strictures

Area of Science:

• Urology
• Surgical Techniques
• Reconstructive Surgery

Background:

• Severe and complicated urethral strictures pose significant management challenges.
• Traditional treatments may involve repeated interventions and complications.
• Two-stage urethroplasty offers a potential solution for complex cases.

Purpose of the Study:

• To summarize 12 years of experience with two-stage urethroplasty for severe urethral strictures.
• To discuss surgical techniques, including modifications for specific stricture types.
• To report complications, their management, and long-term outcomes.

Main Methods:

• Review of 200 patients undergoing two-stage urethroplasty over 12 years.
• Detailed description of surgical techniques, including modified Johanson urethroplasty.
• Analysis of complications, management strategies, and long-term results.

Main Results:

• Two-stage urethroplasty was successfully applied to 200 patients with severe/complicated urethral strictures.
• Modified Johanson urethroplasty was utilized for bulbomembranous and multiple strictures.
• No patients required urethral dilatations after the urethroplasty procedures.

Conclusions:

• The described two-stage urethroplasty techniques are surgically sound for managing urethral strictures.
• The procedures provide effective long-term results, obviating the need for further dilatations.
• This approach offers a reliable solution for severe and complicated urethral stricture cases.