[A method for the surgical treatment of extended strictures of the anterior urethra]

The original one-staged technique was reported a success in two patients with long (8 and 10 cm) strictures of anterior urethra. In line with the dissection of stenosed parts and the following ureteroureteral anastomosis, a circular reduplication of tunica albuginea penis was made and invaginated in presence of intact spongy bodies. The given technique of urethroplasty (in patients with urethral stenosis from 3 to 10 cm) prevented penile distortion and anastomosis tension, and therefore the relapse of strictures and obliteration of urethra, as well as urinary fistula development. The advantages of the method are a 2-3-fold decrease in the treatment duration and the preservation of the copulative function despite the shortening of the penile body.