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Updated: May 7, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Current management of urethral stricture.
1Department of Urology, Seoul National University Hospital, Seoul, Korea.
Surgical options for anterior urethral stricture are evolving, with no single best technique. One-stage buccal mucosal graft urethroplasty is common, but surgeon expertise dictates the best approach for urethral reconstruction.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Urethral stricture treatment is dynamic.
- Multiple surgical techniques exist for anterior urethral stricture, but a definitive method of choice is lacking.
Purpose of the Study:
- To review current surgical options for anterior urethral stricture.
- To discuss controversies in urethral reconstruction.
Main Methods:
- Literature review of surgical techniques for anterior urethral stricture.
- Analysis of current practices and controversies in urethroplasty.
Main Results:
- One-stage buccal mucosal graft urethroplasty is a widely adopted procedure.
- The optimal surgical technique selection depends on surgeon expertise.
Conclusions:
- Urologists must stay updated on diverse surgical techniques for urethral stricture.
- Tailoring treatment to individual cases and surgeon proficiency is crucial for successful urethral reconstruction.
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