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Ventral Approach for the Non-transecting Bulbar Urethroplasty.
E Morán1, I Sáez Moreno1, M A Bonillo1
1La Fe University Hospital, Valencia.
Urology
|February 12, 2021
Summary
The ventral approach for short bulbar strictures is a successful technique, with 87.5% of patients remaining recurrence-free. This method significantly improves urinary flow and patient-reported outcomes without affecting erectile function.
Area of Science:
- Urology
- Surgical technique
- Reconstructive surgery
Background:
- Short bulbar strictures often require surgical intervention when endoscopic treatments fail.
- Non-transecting urethroplasty techniques, including dorsal approaches, aim to minimize side effects.
- The ventral approach offers an alternative for managing distal and mid bulbar strictures.
Observation:
- A prospective observational study included 10 patients with short mid or distal bulbar strictures.
- Patients underwent a ventral non-transecting bulbar urethroplasty between January 2016 and December 2018.
- The study details the step-by-step surgical technique, including urethrotomy, mucosectomy, and anastomosis.
Findings:
- After a mean follow-up of 27.25 months, 90% of strictures (9/10 patients) were recurrence-free.
- A significant increase in maximum urinary flow rate (Qmax) was observed (p=0.04).
- Patient-reported outcomes for urinary symptoms significantly improved (p=0.03), with no reported decrease in erectile function.
Implications:
- The ventral approach is a feasible and reproducible technique for short bulbar strictures.
- This surgical method demonstrates efficacy in improving urinary flow and quality of life.
- Preliminary findings suggest preservation of erectile function is achievable with this technique.
