Update on the management of complex strictures of the bulbar urethra.

ABSTRACT

PURPOSE OF REVIEW This narrative review summarizes the most relevant literature published in 2019-2020 regarding urethroplasty for bulbar strictures. RECENT FINDINGS: We identified relevant papers focussing on new insights in the field of excision and primary anastomosis, graft augmentation urethroplasty and perineostomy for bulbar strictures and bulbomembranous strictures after radiotherapy or surgery for benign prostatic hyperplasia. SUMMARY: Respecting the vascularity of the anterior urethra and maintaining the integrity of surrounding structures during bulbar urethroplasty does not appear to deteriorate surgical outcomes and might be associated with improved functional outcomes.