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Updated: Jun 5, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Dorsal versus ventral anterior urethral spatulation in posterior urethroplasty
Jalil Hosseini1, Mohammad Jabbari, Ali Kaviani
1Department of Reconstructive Urology, Shahid Beheshti University, MC, Tehran, Iran. jhosseinee@gmail.com
Purpose:
To compare dorsal versus ventral anterior urethral spatulation in posterior urethroplasty.
Materials And Methods:
In a retrospective study, we evaluated the records of 320 posterior urethroplasties which have been done in our center over a 7-year period from January 2000 to December 2006. The results of dorsal and ventral anterior urethral spatulations were compared.
Results:
The studied subjects consisted of 264 men and 54 prepubescent boys (≤ 15 years) with the mean age of 23 years (range, 5 to 84 years). The mean follow-up was 52 months (range, 27 to 107 months). Six o'clock (group A) and 12 o'clock (group B) anterior urethral spatulations were performed in 101 (32%) and 219 (68%) of the patients, respectively. The success rates were 96% and 87.6% in groups A and B, respectively (P = .025). There were no urethro-rectal fistula and perineal wound infection during the follow-up period.
Conclusion:
Our data suggest that the dorsal anterior urethral spatulation in urethroplasty is more efficient than ventral anterior urethral spatulation in terms of treatment success outcome.
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