Long-term Outcomes of Transecting Versus Nontransecting Bulbar Urethroplasty: Results from the Scandinavian Urethroplasty Study.

In this first randomized controlled trial comparing bulbar urethroplasty techniques; transecting excision and primary anastomosis caused more penile complications, particularly penile shortening and reduced glans filling, than buccal mucosa graft urethroplasty, with similar recurrence rates. Corpus spongiosum transection should therefore be avoided whenever possible.