Muscle-Sparing Urethroplasty
Muscle-sparing urethroplasty encompasses techniques that preserve the bulbospongiosus and perineal muscles by carefully reflecting rather than dividing them during dissection for urethral exposure. Preservation of these muscles reduces postoperative pain, supports perineal reconstruction, and may help maintain ejaculatory and erectile function. The approach is applicable to both anastomotic and substitution urethroplasties where adequate exposure can be achieved without muscle transection.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Andrich DE, Mundy AR. "Non-transecting anastomotic bulbar urethroplasty: a preliminary report." BJU Int. 2012;109(7):1090–4. PMID: 21895911
- Palminteri E, Berdondini E, Verze P, De Nunzio C, Vitarelli A, Carmignani L. "Contemporary urethral stricture characteristics in the developed world." Urology. 2013;81(1):191–6. PMID: 23153958