Joshi Step / MsANTA
The Joshi Step technique, also termed Muscle-sparing Anastomotic (MsANTA), preserves the bulbospongiosus muscle and surrounding fascia during dissection for excision and primary anastomosis. By avoiding muscle division, this approach reduces postoperative perineal discomfort and may preserve ejaculatory function. The technique is applicable to short to moderate-length bulbar strictures.
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
- Joshi PM, Bandini M, Kulkarni SB. "Mucosal-sparing augmented non-transected anastomotic (MsANTA) urethroplasty: a step forward in ANTA urethroplasty." BJU Int. 2022;130(1):133–6. PMID: 35278023
- Kulkarni SB, Joshi PM, Venkatesan K. "Management of short and long segment bulbar urethral strictures." Indian J Urol. 2011;27(3):392–6. PMID: 22022003