Jordan Vessel-Sparing EPA
Jordan's vessel-sparing excision and primary anastomosis technique, described in 2007, modifies classical EPA by carefully identifying and preserving the bilateral central arteries of the bulbar urethra during dissection. Preservation of these terminal branches of the internal pudendal artery reduces the risk of ischemic injury to the corpus spongiosum and may lower the incidence of de novo erectile dysfunction. This refinement is particularly relevant for patients with pre-existing vascular risk factors.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Jordan GH, Eltahawy EA, Virasoro R. "The technique of vessel sparing excision and primary anastomosis for proximal bulbous urethral reconstruction." J Urol. 2007;177(5):1799–802. PMID: 17437823
- Morey AF, Kizer WS. "Proximal bulbar urethroplasty via extended anastomotic approach—what are the limits?" J Urol. 2006;175(6):2145–9. PMID: 16697832