Two-stage urethroplasty. Improved method for treating bulbomembranous strictures

Twelve years' experience with a two-stage urethroplasty for the surgical management of severe and complicated urethral strictures in 200 patients is summarized. The techniques used, including a modification of the Johanson urethroplasty for bulbomembranous urethral strictures and for multiple strictures without splitting the scrotum, are discussed. The most usual complications of these procedures are reported, as well as how to deal with them, and long-term final results are given. The principles of these procedures are surgically sound, considering the pathology of the strictures. At no time after urethroplasty were urethral dilatations necessary in these 200 patients.