This protocol targets male patients with a short (≤ 3 cm) post-traumatic bulbar urethral stricture in which the urethral lumen is nearly completely or completely obliterated and the surrounding spongy tissue shows full-thickness spongiofibrosis — a distinctive anatomical pattern that determines the recommended surgical repair.
The stricture is confined to the bulbar urethra, measures no more than 3 cm in length, and results from prior trauma. Evaluation reveals (near-)complete loss of urethral lumen patency with spongiofibrosis involving the full thickness of the corpus spongiosum. This combination — short, post-traumatic, with obliteration and deep fibrosis — defines a distinct sub-population requiring a specific operative strategy.
For this profile, a transecting technique that completely removes the fibrotic segment and directly restores urethral continuity is the recommended approach. Complete procedural details, patient selection criteria, and the full operative algorithm are available in the structured protocol.
Use transecting excision and primary anastomosis (tEPA) for short post-traumatic bulbar strictures with (nearly) complete obliteration of the lumen and full thickness spongiofibrosis.
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