{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T03:36:11Z","timestamp":1781667371962,"version":"3.54.5"},"reference-count":36,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The bulbar urethra is the most common site of stricture disease for which urethroplasty remains standard of care. A decrease in trauma as an etiology in the developed world and concerns regarding sexual dysfunction related to transection of the corpus spongiosum have placed a renewed emphasis on non-transecting urethroplasty techniques. Here, we present our surgical algorithm with emphasis on non-transecting techniques for bulbar urethral stricture disease and review the current state of literature comparing transecting to non-transecting approaches in order to provide guidance to practitioners on patient selection, counseling, and technique.<\/jats:p>","DOI":"10.3390\/jcm11237033","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T07:38:49Z","timestamp":1669621129000},"page":"7033","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Non-Transecting Urethroplasty for Bulbar Urethral Strictures\u2014Narrative Review and Treatment Algorithm"],"prefix":"10.3390","volume":"11","author":[{"given":"Nathaniel","family":"Coddington","sequence":"first","affiliation":[{"name":"Division of Urology, University of Colorado Anschutz Medical Campus, Denver, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Higgins","sequence":"additional","affiliation":[{"name":"Division of Urology, University of Colorado Anschutz Medical Campus, Denver, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6120-044X","authenticated-orcid":false,"given":"Abrar","family":"Mian","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Midwestern University, Downers Grove, IL 60515, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Flynn","sequence":"additional","affiliation":[{"name":"Division of Urology, University of Colorado Anschutz Medical Campus, Denver, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1667","DOI":"10.1016\/j.juro.2007.01.041","article-title":"Male urethral stricture disease","volume":"177","author":"Santucci","year":"2007","journal-title":"J. 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Urol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/S0022-5347(01)62894-5","article-title":"Treatment of male urethral strictures: Is repeated dilation or internal urethrotomy useful?","volume":"160","author":"Heyns","year":"1998","journal-title":"J. Urol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1859","DOI":"10.1016\/j.juro.2010.01.020","article-title":"Urethrotomy has a much lower success rate than previously reported","volume":"183","author":"Santucci","year":"2010","journal-title":"J. Urol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1089\/end.2018.0317","article-title":"Endoscopic Management of Urethral Stricture Disease and Bladder Neck Contractures","volume":"34","author":"Furr","year":"2020","journal-title":"J. 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Urol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1016\/j.urology.2013.11.007","article-title":"SIU\/ICUD Consultation on Urethral Strictures: Anterior urethra\u2014Primary anastomosis","volume":"83","author":"Morey","year":"2014","journal-title":"Urology"},{"key":"ref_12","first-page":"e971","article-title":"Mp67-10\u2014A simplified surgical algorithm for the management of bulbar urethral strictures: Comparison of transecting versus non-transecting urethroplasty at a single institution","volume":"201","author":"Warncke","year":"2019","journal-title":"J. Urol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1803","DOI":"10.1016\/j.juro.2007.01.033","article-title":"Long-term followup for excision and primary anastomosis for anterior urethral strictures","volume":"177","author":"Eltahawy","year":"2007","journal-title":"J. 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Urol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.urology.2019.02.042","article-title":"Urinary and Sexual Outcomes Following Bulbar Urethroplasty\u2014An Analysis of 2 Common Approaches","volume":"130","author":"Furr","year":"2019","journal-title":"Urology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.juro.2018.09.051","article-title":"Nontransecting Techniques Reduce Sexual Dysfunction after Anastomotic Bulbar Urethroplasty: Results of a Multi-Institutional Comparative Analysis","volume":"201","author":"Chapman","year":"2019","journal-title":"J. Urol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s11255-016-1454-1","article-title":"Primary non-transecting bulbar urethroplasty long-term success rates are similar to transecting urethroplasty","volume":"49","author":"Anderson","year":"2017","journal-title":"Int. Urol. 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