The authors prospectively evaluated this new surgical approach for urethral strictures. Thirteen patients were operated by a new technique using an upper transversescrotal incision. Patients with proximal bulbar strictures were excluded. Out of 13 patients, 8 underwent end-to-end anastomosis and 5 patients underwent freeforeskin dorsal onlay graft. Among 13 patients, 3 had the history of previous transurethral procedures and 10 patients had unknown etiology.The new approach included a transverse incision of about 3-4 cm at the penoscrotal junction in supine position with legs abducted. Dartos and Buck's fasciae wereopened to approach the corpus spongiosum. Dissection of scrotal septum for exposure of proximal urethra or extension of incision in an inverted T fashion along theventral midline of penis for the exposure of distal penile urethra was optional.
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