Related Experiment Video
Updated: Jun 4, 2025
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
History of urethral surgery: Lessons learnt from the past
F X Madec1, P Neuville2, F Chierigo3
1Servicio de Urología, Hospital Foch, Suresnes, France; UMR 1179, Inserm Facultad de Medicina, Universidad Versailles Saint Quentin, Paris Saclay, Montigny le Bretonneux, France.
Introduction:
Although failures are undesirable, they offer valuable learning opportunities that drive progress through necessary changes. This concept holds particularly true in the history of urethral reconstruction.
Methods:
A comprehensive literature review was conducted using PubMed, focusing on the history of the urethral stricture and current trends based on national and international guidelines for urethral stricture management.
Results:
Urethral strictures are among the oldest known urological conditions, with initial treatments centred around dilatation. These palliative measures proved disappointing. The advent of reconstructive urology has transformed this pathology into a treatable condition, notably through Excision and Primary Anastomosis (EPA) and one-stage augmentation urethroplasty using buccal grafts.
Conclusion:
Urethroplasty is the gold standard treatment for urethral strictures, and ongoing refinements aim to further reduce morbidity.
