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Non-Transecting Bulbar Urethroplasty

Described by Mundy in 2012, the non-transecting approach preserves the urethral plate and spongiosal tissue by incising only the ventral urethra without fully transecting the corpus spongiosum. A buccal mucosal graft is inlaid or onlaid into the opened stricture segment. This technique aims to maintain periurethral blood supply and innervation, potentially reducing risks of erectile dysfunction and ejaculatory disturbance.

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. Andrich DE, Mundy AR. "Non-transecting anastomotic bulbar urethroplasty: a preliminary report." BJU Int. 2012;109(7):1090–4. PMID: 21933325
  2. Palminteri E, Berdondini E, Verze P, De Nunzio C, Vitarelli A, Carmignani L. "Contemporary urethral stricture characteristics in the developed world." Urology. 2013;81(1):191–6. PMID: 23153958