ArticleInternational urology and nephrology2026
Long-term outcomes of the excision and primary anastomotic urethroplasty in non-traumatic bulbar and membranous urethral strictures.
Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUrethral stricture disease commonly affects the bulbar and membranous urethra. Excision and primary anastomosis techniques (end-to-end bulbar urethral anastomosis and bulboprostatic anastomosis) are widely used for isolated bulbar and bulbomembranous strictures. This study aimed to evaluate the long-term functional outcomes of these excision and primary anastomotic urethroplasty techniques.
methodsA retrospective, single-center chart review was conducted on patients who underwent perineal excision and primary anastomotic urethroplasty between 2005 and 2023. Patients with prior pelvic surgery, radiotherapy, hormonal therapy, or inadequate follow-up were excluded. Data on clinical history, surgical details, urethral recurrence, erectile function, and complications were collected. Erectile function was assessed via a patient-reported 4-point scale. Surgical success was defined as no requirement for additional procedures during follow-up.
resultsOf 65 patients initially identified, 45 met the inclusion criteria (end-to-end bulbar urethral anastomosis group: n = 35; bulboprostatic anastomosis group: n = 10). Corporal separation was performed in 8 cases of bulboprostatic anastomosis. Postoperative success rates were 94.2% (end-to-end bulbar urethral anastomosis) and 90% (bulboprostatic anastomosis). De novo erectile dysfunction occurred in 10% of end-to-end bulbar urethral anastomosis cases and 16.7% of bulboprostatic anastomosis cases.
conclusionsBoth end-to-end bulbar urethral anastomosis and bulboprostatic anastomosis are highly effective for isolated bulbar and bulbomembranous urethral strictures, with excellent success rates and low complication profiles. Erectile function was preserved mainly, although ancillary maneuvers, such as corporal separation, were associated with higher erectile dysfunction rates. These findings support the careful selection and planning of excision and primary anastomotic techniques to optimize both functional and surgical outcomes.
Indexed as
Identifiers
41507644What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.