Hello doctor,May I know if you have done urethroplasty in the distal penile urethra using the excision and primary anastomosis (EPA) technique? Are you personally familiar with any such case? If so, was the surgery successful? Did the surgery cause penile curvature? If so, how many degrees did it had? What was the stricture length? Thanks.
Hi. I am a Urologist and I have performed urethroplasties. But, excision and primary anastomosis is the procedure of choice only in short segment urethral strictures and they occur in the majority of traumatic urethral strictures that occur in the proximal urethra. Such a stricture in distal urethra is rare. However, I had to do excision and primary anastomosis in an iatrogenic distal penile urethral injury, wherein the surgeon had badly damaged distal penile urethra during an attempt to dilate the distal urethra. I was called intraoperative. The urethral plate was badly damaged in that case for only 1 cm. I did excise that part and anastomosed end to end and the result was excellent and there was no postoperative chordee (bending). Other than this case, I have not done any EPA in distal urethra.  Take care.