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Updated: Jul 7, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Surgical treatment of urethral stenoses: technical aspects]
W Oosterlinck1, N Lumen, G Van Cauwenberghe
1Département d'urologie, Hôpital universitaire de Gand, De Pintelaan 185, 9000 Gand, Belgique. willem.oosterlinck@ugent.be
Abstract:
This article is an extensive review on open surgery techniques for urethral strictures from the membranous urethra after pelvic fracture up to the meatus urethrae. It is based on more than 10 year personal experience with nearly all mentioned techniques and a PubMed review on the subject from 1992 to 2005. Most of the studies published are descriptive and retrospective and deliver only a level 3 of evidence. General principles applicable to urethral surgery and tissue transfer are discussed. The different techniques are described in detail. Their indications, Limitations, advantages, disadvantages and results are discussed. Especially re-interventions need experience to make the best choice among the different techniques.
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Urethra
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male urethra is...