Staged Approaches to Panurethral Strictures

Long-segment urethral or panurethral stricture disease involving the different anatomic segments of the anterior urethra is a relatively less common lesion of the anterior urethra compared to bulbar stricture. Management of panurethral stricture remains a challenge in reconstructive urology. Its surgical treatment may vary according to the etiology, location, length, and density of the lesion and fibrosis involving surrounding tissues [1–3]. In the treatment of this condition, several issues must be considered, such as the etiology of the stricture, previous urethral surgeries, quality of the urethral plate, availability of different autologous tissues to be used as flaps or grafts, and experience and preference of the treating urologist, including his familiarity with tissue transfer techniques [3, 4].