Penile Inversion Approaches to the Penile Urethral Stricture

Panurethral strictures comprise about 4.9% of urethral stricture disease presentations and can have a significant impact on patient quality of life (1). The definition of “panurethral” is debated in the literature; however, one definition describes any single or multifocal diseased area of the penile and/or bulbar urethra measuring ≥8 cm in length. Normal connective tissue is replaced by dense fibrosis with reduction in collagen, smooth muscle, and nitric oxide content in the diseased tissue (2). The penile inversion technique allows repair of panurethral strictures and lengthy penile urethral strictures with high success rates (3).