[Comparison of surgical techniques: resection and termino-terminal anastomosis]

There are different surgical options for the treatment of anterior stricture diseases such as anastomotic repair, substitution urethroplasty and two stage procedures. The choice of the adequate technique must be based on a correct urethral stricture selection (aetiology, length, previous treatments, local factors). The urethroplasty failures are generally secondary to incorrect selection or execution of the operations and sometimes to spongiofibrosis relapse or prolonged tessutal ischemia. End-to-end anastomosis is the treatment of choice for strictures, particularly post traumatic, of the bulbous urethra no longer than 2 cm. The dorsal roof-strip anastomosis is indicated for bulbar urethral strictures longer than 2 to 3 cm. It is a combined end-to-end and substitution urethroplasty technique.