In male patients presenting with complex anterior urethral stricture disease, single-stage urethroplasty is not always a feasible option. This protocol addresses the specific management pathway for these cases, including men who are not fit or not willing to undergo formal reconstruction.
This protocol applies to men with complex anterior urethral stricture disease not suitable for single-stage urethroplasty — a subgroup for whom the reconstructive approach must be carefully selected based on individual fitness for surgery and willingness to undergo staged procedures.
A perineal surgical approach is among the recommended management options in this setting — the complete indications, patient selection criteria, and procedural guidance are detailed in the full protocol.