Bulbar Urethral Reconstruction: A Guide to Surgery
About this video
Dr. Alex Vanni explains why a bulbar urethral stricture matters, how the repair is planned, transecting and non-transecting repairs, excision and primary anastomosis, buccal mucosa graft urethroplasty, results of 93 to 97 percent success at five years, and side effects after surgery.
Key points
- The bulbar urethra, beneath the scrotum, is the most common site of a urethral stricture
- Strictures can cause a weak stream, bladder strain, infections, and less often kidney problems
- Short scars from a straddle injury are often removed and the ends joined (excision and primary anastomosis)
- Longer strictures are usually widened with a buccal mucosa graft from the inside of the cheek
- In Dr. Vanni's results, bulbar urethroplasty is successful in 93–97% of men at 5 years
- New erectile problems are rare, about 1%
Chapters
- Introduction
- Why a Stricture Matters
- Planning the Repair
- Types of Repair
- Choosing the Repair
- After Surgery
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Talk with Dr. Vanni
Dr. Alex J. Vanni is a fellowship-trained reconstructive urologic surgeon at the Lahey Clinic in Burlington, Massachusetts, caring for patients from Boston and across New England.
New patients: (781) 744-8762 · Established patients with clinical questions: (781) 744-8420
This video is for general patient education and does not replace advice from your own doctor. Every patient is different; please talk with your care team about your situation. Watch on YouTube.