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Augmented Anastomotic Urethroplasty

Augmented anastomotic urethroplasty combines the principles of excision with partial urethral transection and augmentation using an oral mucosal graft to bridge a longer stricture than could be managed by pure EPA alone. The stricture segment is excised, the urethra is partially spatulated, and a graft is onlaid at the anastomotic site to relieve tension and widen the lumen. This hybrid approach extends the length of stricture amenable to anastomotic repair.

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. Guralnick ML, Webster GD. "The augmented anastomotic urethroplasty: indications and outcome in 29 patients." J Urol. 2001;165(5):1496–501. PMID: 11342904
  2. Andrich DE, Leach CJ, Mundy AR. "The Barbagli procedure gives the best results for patch urethroplasty of the bulbar urethra." BJU Int. 2001;88(4):385–9. PMID: 11564028