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Anastomoses

Anastomoses

In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...

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Related Experiment Video

Updated: Jan 19, 2026

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

[Non-transecting anastomotic urethroplasty].

E I Veliev^1,2,3, A B Bogdanov^1,2,3, M I Katibov^1,2,3

¹S.P. Botkin City Clinical Hospital, Moscow, Russia.

Urologiia (Moscow, Russia : 1999)

|September 20, 2019

Summary

Non-transecting anastomotic urethroplasty is a safe and effective treatment for short urethral strictures, showing a 95% success rate with minimal complications. This technique also demonstrated better sexual function outcomes compared to transecting methods.

Keywords:

anastomotic urethroplasty non-transectingurethroplasty urethral stricture

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Area of Science:

Urology
Surgical Techniques
Reconstructive Surgery

Background:

Urethral strictures are a significant cause of morbidity in men.
Traditional surgical options carry risks of complications and functional deficits.
Non-transecting anastomotic urethroplasty offers a potentially less invasive approach.

Purpose of the Study:

To review and analyze the efficacy and safety of non-transecting anastomotic urethroplasty for urethral strictures.
To compare outcomes with transecting techniques where data is available.
To assess the impact on postoperative complications and sexual function.

Main Methods:

Systematic review of 14 original studies (13 foreign, 1 Russian) involving 704 patients.
Analysis of data on stricture location, length, etiology, complications, and functional outcomes.
Comparison of non-transecting versus transecting urethroplasty in select studies.

Main Results:

High success rate of 95% for non-transecting anastomotic urethroplasty.
Average postoperative complication rate of 13.7%, mostly mild (Clavien-Dindo G1).
De novo erectile dysfunction incidence averaged 13.4%; non-transecting technique showed comparable or superior sexual function outcomes versus transecting methods.

Conclusions:

Non-transecting anastomotic urethroplasty is a highly effective and safe method for short urethral strictures.
The technique is suitable for various etiologies and locations, particularly bulbar strictures.
Recommended for widespread clinical adoption due to favorable outcomes and safety profile.