Hybrid minimally invasive urethroplasty for pan-anterior urethral strictures: initial results.

INTRODUCTION

To describe our minimally invasive hybrid technique for treating pan-anterior urethral stricture.

PATIENTS AND

METHODS

From February 2009 through November 2011, 12 patients with pan-anterior urethral stricture were operated on in our unit. The bulbospongiosus muscle was mobilized on one side, and a 2.5-cm dorsolateral bulbar urethrotomy was made. A full-thickness cold knife optical internal urethrotomy was made to reach the corpus cavernosum as graft bed. A 14- to 16-cm-long, 15- to 16-mm-wide buccal/lingual mucosa graft was harvested and sutured dorsally at the site of urethrotomy, and then distally at the meatus along with meatoplasty.

RESULTS

The mean operating time was 91.66 min. The average hospital stay was 2.4 days. The Foley catheter was removed after 3 weeks. The mean Q(max) preoperatively and postoperatively was 5.5 ± 1.87 and 18.83 ± 2.04 ml/s, respectively. Our mean follow-up was 18.5 ± 6.92 (6-32) months.

CONCLUSIONS

Our hybrid technique provides good short-term results while promoting minimal urethral mobilization and graft vascularity.