Excision and primary anastomosis.

摘要

Stricture excision with primary urethral anastomosis (EPA) was initially described as a treatment for urethral stricture in the late 19th century. Despite the efforts of a small number of surgeons, its role remained poorly defined as late as the early 1970s, when perineal or scrotal flap procedures were popular and direct vision internal urethrotomy (DVIU) was being introduced. Shortly thereafter a number of series demonstrating excellent results with EPA began to appear in the literature and by the mid 1980s EPA was well established as an excellent form of surgical treatment for patients with a short bulbous urethral stricture. These series add further support for this procedure and its durability, and describe a new technique that may be useful in specific clinical situations.