Augmented Non-transecting bulbar urethroplasty
BAUS ePoster online library. Frost A. Jun 24, 2019; 259525; P4-10
Dr. Anastasia Frost
Dr. Anastasia Frost
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)

We developed the augmented non-transecting anastomotic urethroplasty procedure(ANTABU) for selected long non-traumatic bulbar strictures with an obliterative segment component as an alternative to simply augmenting the entire stricture.

Patients and Methods

Between 2012-2017, 45 patients underwent ANTABU. Follow-up was clinically, using PROMs, flow rate and urethrography. Mean follow-up was 14.8months(12-38.2months). Surgical technique involves excision of spongiofibrosis in the tightest segment of a longer bulbar stricture in a non-transecting fashion with the rest of the dorsal stricturotomy augmented with a buccal graft.


37(82.2%) strictures were idiopathic, 2(4.4%)post-TURP, 6(13.4%)catheter-related. Mean stricture length was 5.4 cm(3 – 9cm). Mean length of obliterative spongiofibrosis excised in a non-transecting fashion was 1.2cm(0.5 – 2cm). Graft was harvested from the cheek in 37(82%)patients and sublingually in 8(18%).

2 of 43(5%)patients had radiological evidence of recurrence. Mean flow rate at least 1 year postoperatively was 25.4ml/s. 28 of 32patients(87.5%) reported they were satisfied/very satisfied with the surgical outcome. 1 patient could not void due to detrusor failure. 13(29%) patients developed post-micturition dribble which was tolerable in all. Erectile dysfunction longer than 6 months was reported in 1 patient(2%).


ANTABU allows excision of the narrowest segment of spongiofiibrosis without disrupting the integrity of ventral spongiosal blood flow, reconstituting the urethral plate to a wider calibre, avoiding an almost circumferential substitution in this area. This also permits the use of narrower and shorter oral grafts with reduced donor site morbidity. We have demonstrated excellent results with this technique in the short to intermediate term.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings