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Updated: Jul 10, 2026

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

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[Modified urethral pull-through procedure for post-trauma posterior urethral stricture].

Li-Ping Shan¹, Bo Yin, Yong-Sheng Song

¹Department of Urology, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning 110004, China. slp317@yahoo.com.cn

Zhonghua Nan Ke Xue = National Journal of Andrology

|November 6, 2007

Summary

The modified urethral pull-through procedure effectively treats traumatic posterior urethral strictures. This surgical technique demonstrates high success rates with minimal complications, offering a viable solution for patients with these challenging injuries.

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Area of Science:

Urology
Surgical Innovation
Trauma Reconstruction

Context:

Posterior urethral strictures often result from trauma.
Previous treatments like urethral realignment can lead to post-operative strictures.
Surgical options for these complex cases are continuously being refined.

Purpose:

To assess the efficacy of a modified urethral pull-through procedure.
To evaluate its outcomes in patients with post-traumatic posterior urethral stricture or obliteration.
To determine the safety and complication profile of this surgical technique.

Summary:

The modified urethral pull-through procedure was performed on 36 patients with post-traumatic posterior urethral stricture or obliteration.
The mean stricture length was 2.2 cm, with patients aged 17-59 years.
A success rate of 94.4% was observed after a minimum 1-year follow-up, with no reported erectile dysfunction or incontinence.

Impact:

The modified urethral pull-through procedure offers an effective and simple surgical solution.
It is associated with a low complication rate.
The technique avoids long-term functional deficits such as erectile dysfunction or incontinence.