{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T15:47:14Z","timestamp":1773676034675,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the feasibility and surgical and patient\u2010reported outcomes of nontransecting anastomotic urethroplasty (NTAU) for male patients with pelvic fracture urethral injury (PFUI) compared with excision and primary anastomosis (EPA), the current mainstay surgical approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study analyzed 233 male PFUI patients treated with EPA (<jats:italic>n<\/jats:italic>\u2009=\u2009223) or NTAU (<jats:italic>n<\/jats:italic>\u2009=\u200910) from 2008 to 2024 by a single surgeon (AH). NTAU involves preserving urethral continuity and maintaining bilateral bulbar artery integrity while excising scar tissue and achieving tension\u2010free urethral anastomosis. Anatomical success was defined as the ability to pass a 17Fr flexible cystourethroscope through the anastomotic site without resistance and no need for additional treatments. Postoperative functional outcomes were assessed using validated patient\u2010reported measures, including the LUTS\u2010specific quality\u2010of\u2010life (QOL) questionnaire, the Sexual Health Inventory for Men (SHIM), and the EuroQol Visual Analog Scale (EQ\u2010VAS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Although the median follow\u2010up period was significantly shorter for NTAU (12 vs. 69\u2009months, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), the anatomical success rate was 100% for NTAU and 94.6% for EPA, with no significant difference between the groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.45). No significant differences were observed in the perioperative complication rate (<jats:italic>p<\/jats:italic>\u2009=\u20090.54). The changes in LUTS\u2010QOL, SHIM, and EQ\u2010VAS scores from preoperative to postoperative assessments were also comparable, indicating similar patient\u2010reported outcome improvements in both groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.71, <jats:italic>p<\/jats:italic>\u2009=\u20090.16, <jats:italic>p<\/jats:italic>\u2009=\u20090.92, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>NTAU has the potential to achieve surgical and patient\u2010reported outcomes comparable to EPA. Further studies are warranted to validate its long\u2010term benefits and define its optimal indications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.70027","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T03:05:49Z","timestamp":1741575949000},"page":"672-678","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Preliminary Evaluation of Nontransecting Anastomotic Urethroplasty for Pelvic Fracture Urethral Injury: Insights From a Comparison With Excision and Primary Anastomosis"],"prefix":"10.1111","volume":"32","author":[{"given":"Jumpei","family":"Katsuta","sequence":"first","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama 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