SUFU 2008 Winter Meeting State Of The Art Bulbar Urethroplasty: New Perspectives On Procedure Selection

Main Category: Urology / Nephrology
Also Included In: Clinical Trials / Drug Trials;  Conferences
Article Date: 08 Mar 2008 - 1:00 PDT

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UroToday.com - In a recent meta-analysis, urethroplasty was reported to be successful in 93.3% of 443 patients with stricture length varying from 1-4cm. Although less invasive procedures are available, urethroplasty is considered the gold standard treatment for male urethral stricture. Dr. Morey delivered an enlightening lecture reviewing current thoughts regarding the technical aspects of bulbar urethroplasty.

Historically, the maximal length of strictures that were thought to be amenable to primary excision and anastamosis was far less than the 5cm suggested in a recent publication. Consideration of the use of graftless techniques that are traditionally used for longer strictures is dependent upon the location of the stricture and the stretched penile length (SPL), as suggested by Dr. Morey. Disease within the bulbar urethra, particularly proximally, and SPL =14cm were favorable for success of primary excision and anastamosis without graft supplementation. While mobilization of the proximal bulb can be challenging, Dr. Morey emphasized that the distal bulbar urethra is very amenable to mobilization, particularly with the scrotum retracted distally, and this can facilitate successful primary repair of even long bulbar strictures.

Presented by: Allen F. Morey, MD at the Society for Urodynamics and Female Urology (SUFU) 2008 Winter Meeting - February 28 - March 2, 2008 Miami, Florida, USA

Reported for UroToday.com by Kathleen C. Kobashi, MD, Head, Section of Urology and Renal Transplantation, Virginia Mason Medical Center

Co-Director Continence Center, Virginia Mason Medical Center Clinical Associate Professor of Urology, University of Washington

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