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MANTA (Muscle-sparing Anastomotic)

MANTA (Muscle-sparing ANasTomotic Anastomosis) is an evolution of the standard bulbar urethroplasty in which the bulbospongiosus muscle is carefully reflected rather than divided, limiting surgical trauma to the perineal musculature. The preserved muscle coverage is believed to support postoperative hemostasis, reduce wound complications, and protect neural structures contributing to sexual function. It shares conceptual overlap with the MsANTA approach described by Joshi.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

  1. Marks JF, Dahlem R, Janisch F, et al. "Mucomucosal anastomotic non-transecting augmentation (MANTA) urethroplasty: a ventral modification for obliterative strictures." BJU Int. 2023. PMID: 37409824
  2. Andrich DE, Mundy AR. "Non-transecting anastomotic bulbar urethroplasty: a preliminary report." BJU Int. 2012;109(7):1090–4. PMID: 21933325