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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Related Experiment Video

Updated: Mar 26, 2026

Vessel-sparing Excision and Primary Anastomosis
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Non-transecting bulbar urethroplasty.

Simon Bugeja1, Daniela E Andrich1, Anthony R Mundy1

  • 1Reconstructive Urology Unit, University College London Hospital, London NW1 2BU, UK.

Translational Andrology and Urology
|January 28, 2016
PubMed
Summary
This summary is machine-generated.

Non-transecting bulbar urethroplasty avoids dividing the urethra, preserving spongiosal blood flow. This technique offers an alternative to excision and end-to-end anastomosis (EPA) for short urethral strictures.

Keywords:
Anterior urethral stricturesurethral reconstructionurethroplasty

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Area of Science:

  • Urology
  • Surgical Techniques

Background:

  • Excision and end-to-end anastomosis (EPA) is standard for short bulbar strictures.
  • Concerns exist regarding potential morbidity from urethral transection, including compromised spongiosal blood flow.

Purpose of the Study:

  • To present the non-transecting technique for bulbar urethroplasty.
  • To compare the non-transecting approach with EPA, focusing on avoiding urethral division.

Main Methods:

  • Detailed description of the non-transecting anastomotic procedure and its modifications.
  • Presentation of institutional experience with the non-transecting technique.

Main Results:

  • Non-transecting excision of spongiofibrosis preserves underlying spongiosum vascularity.
  • This approach offers an alternative to urethral division in urethroplasty.

Conclusions:

  • Non-transecting bulbar urethroplasty is a viable alternative to EPA.
  • It achieves success comparable to EPA while minimizing morbidity associated with urethral transection.