Male anterior urethroplasty
Reconstruction of bulbar or penile urethral stricture, grouping excision, augmentation and staged options while retaining their distinct risks.
Interactive 3D Interactive operative model Open the 3D animation 3D Interactive penile skin flap urethroplasty 3D Interactive augmented anastomotic urethroplasty 3D Interactive perineal urethrostomy Teaching catalogue only. This coverage record is not a patient pathway or operative instruction.
Typical place in practice
Definitive treatment for a symptomatic anterior stricture when endoscopic treatment is unsuitable, recurrent or unlikely to be durable.
Alternatives and neighbouring procedures
Observation, catheter-based management, endoscopic treatment in selected disease, or perineal urethrostomy.
Same procedure family, explicit technique branches
These are variations of this canonical operation. Complication modules below identify whether they apply to all branches or only to named approaches.
Excision and primary anastomosis
Excises or remodels a short scar and restores urethral continuity without a graft.
One-stage augmentation
Widens a longer narrowed segment using oral mucosa or another selected graft.
Staged reconstruction
Separates reconstruction into stages for complex penile, inflammatory or failed disease.
Perineal urethrostomy
Creates a durable perineal outlet when formal reconstruction is not preferred or feasible.
High-level sequence
Coverage outline only; not a step-by-step technical guide.
- Map the stricture and plan graft or anastomotic strategy
- Expose the urethra while protecting blood supply and nerves
- Open, excise or augment the scarred segment
- Construct a watertight, tension-aware repair
- Provide urinary drainage and assess healing before catheter removal
Every failure mode is its own module.
Timing and variation coverage are recorded for each module.
Bleeding, haematoma or wound collection
Perineal, penile or donor-site bleeding may threaten wound healing or become infected.
Applies to: All variantsInfection, wound breakdown or fistula
Infection or ischaemia can disrupt the repair and create urethrocutaneous leakage.
Applies to: All variantsRecurrent narrowing
Recurrence may occur at an anastomosis, graft edge or across a more extensive diseased segment.
Applies to: All variantsSexual or ejaculatory change
Patients may experience altered erection, penile shape, sensation or ejaculation; the pattern varies with site and technique.
Applies to: All variantsGraft or donor-site morbidity
Oral pain, numbness, tightness or graft contraction are specific to substitution reconstruction.
Applies to: One-stage augmentation · Staged reconstructionStage failure or need for revision
Graft contraction, persistent disease or poor tissue quality can delay or prevent later tubularisation.
Applies to: Staged reconstructionSources for this module
Dilatation, DVIU, anastomotic, graft, flap, staged and perineal procedures.
Accessed 2026-08-03 · opens source British Association of Urological Surgeons Patient information leaflets by procedureUK patient-facing procedure, alternatives, recovery and complication framing.
Accessed 2026-08-03 · opens source