{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:46:50Z","timestamp":1777312010670,"version":"3.51.4"},"reference-count":26,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"\n Introduction:<\/jats:bold>\n Urethral stricture disease is a complex and debilitating condition that significantly impairs urinary function and quality of life. Urethroplasty remains the gold-standard treatment, especially for complex, long-segment, or recurrent strictures. However, performing urethroplasty in patients with penile prostheses presents unique surgical challenges due to the associated anatomical and vascular considerations.\n <\/jats:p>\n \n Case presentation:<\/jats:bold>\n We report the case of a male patient with a history of penile prosthesis implantation nine years earlier who presented with a recurrent bulbar urethral stricture. The patient underwent excision and primary anastomosis (EPA) urethroplasty. Postoperatively, he developed significant urinary leakage at the anastomotic site, which was confirmed by pericatheter urethrogram, and urine culture grew extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli. The condition was managed conservatively with intravenous antibiotics and suprapubic catheter placement, resulting in resolution of the leakage and preservation of prosthesis function.\n <\/jats:p>\n \n Discussion:<\/jats:bold>\n This case highlights the interplay between urethral vascular compromise and the presence of a penile prosthesis, both of which can increase the risk of complications following urethroplasty. Infection, impaired healing, and altered anatomy contribute to the complexity of surgical management. Although the urethral stricture was amenable to EPA, the healing process was likely adversely affected by local infection and compromised blood supply.\n <\/jats:p>\n \n Conclusion:<\/jats:bold>\n Urethroplasty in patients with a penile prosthesis requires a tailored approach that accounts for altered anatomy and vascularity. In this case, the EPA was complicated by infection and urine leakage; however, conservative management resulted in successful healing, restoration of urinary flow, and preservation of prosthesis function. This case highlights the importance of careful surgical planning and flexible postoperative care.\n <\/jats:p>","DOI":"10.5339\/qmj.2026.16","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T19:30:27Z","timestamp":1774207827000},"source":"Crossref","is-referenced-by-count":0,"title":["Unexpected course of urethroplasty in patient with penile prosthesis"],"prefix":"10.5339","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3371-2285","authenticated-orcid":true,"given":"Ibrahim","family":"Alnadhari","sequence":"first","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"},{"name":"Department of Surgery, Qatar University, Doha, Qatar*Correspondance: Ibrahim Alnadhari1 ibrahimah1978@yahoo.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muammer","family":"Alshrani","sequence":"additional","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabil","family":"Moohialdin","sequence":"additional","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelrahman","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Ali","sequence":"additional","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"},{"name":"Department of Surgery, Qatar University, Doha, Qatar*Correspondance: Ibrahim Alnadhari1 ibrahimah1978@yahoo.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Abdeljaleel","sequence":"additional","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"},{"name":"Department of Surgery, Qatar University, Doha, Qatar*Correspondance: Ibrahim Alnadhari1 ibrahimah1978@yahoo.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Shamsodini","sequence":"additional","affiliation":[{"name":"Urology Section, Department of Surgery, Al Wakra Hospital, Hamad Medical Corporation, Al Wakra, Qatar"},{"name":"Department of Surgery, Qatar University, Doha, Qatar*Correspondance: Ibrahim Alnadhari1 ibrahimah1978@yahoo.com"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"issue":"1","key":"B1","series-title":"BJU Int","first-page":"6","article-title":"Urethral strictures","volume":"107","author":"Mundy\n \nAR","year":"2011"},{"issue":"1","key":"B2","series-title":"J Urol","first-page":"182","article-title":"Male urethral stricture: AUA guideline","volume":"197","author":"Wessells\n \nH","year":"2017"},{"issue":"2","key":"B3","series-title":"Urol Clin North Am","first-page":"283","article-title":"Anatomy of the urethra and periurethral tissues","volume":"19","author":"Baskin\n \nLS","year":"1992"},{"issue":"5","key":"B4","series-title":"J Urol","first-page":"1667","article-title":"Male urethral stricture disease","volume":"177","author":"Santucci\n \nRA","year":"2007"},{"key":"B5","series-title":"Int J Urol","first-page":"162","article-title":"Prevention of urethral stricture in insertion of an inflatable penile prosthesis","volume":"15","author":"Lee\n \nSW","year":"2008"},{"key":"B6","series-title":"J Urol","first-page":"1918","article-title":"Long-term outcome of urethroplasty after failed urethrotomy versus primary repair","volume":"165","author":"Barbagli\n \nG","year":"2001"},{"issue":"4","key":"B7","series-title":"BJU Int","article-title":"Substitution urethroplasty with buccal mucosal grafts","volume":"88","author":"Andrich\n \nDE","year":"2001"},{"key":"B8","article-title":"Guidelines on urethral strictures [online]","author":"European Association of Urology","year":"2023"},{"issue":"4","key":"B9","series-title":"J Sex Med","first-page":"489","article-title":"Penile Prosthesis Surgery: Current Recommendations From the International Consultation on Sexual Medicine","volume":"13","author":"Levine\n \nLA","year":"2016"},{"issue":"6","key":"B10","series-title":"J Sex Med","first-page":"1783","article-title":"An unusual success with simultaneous urethral repair and reimplantation of penile prosthesis in a patient with urethral stricture induced by rotated tubing","volume":"6","author":"Cui\n \nWS","year":"2009"},{"issue":"7","key":"B11","series-title":"org\/10","first-page":"1106","article-title":"Synchronous urethral repair during prosthetic surgery: Safety of planned and damage control approaches using suprapubic tube urinary diversion","volume":"16","author":"Yi\n \nYA","year":"2019"},{"issue":"1","key":"B12","series-title":"Int J Reconstr Urol","first-page":"39","article-title":"Prosthesis implantation after urethral stricture reconstruction","volume":"2","author":"Cavalcanti\n \nA","year":"2024"},{"issue":"4","key":"B13","series-title":"Int J Urol","first-page":"233","article-title":"Buccal mucosa graft for complex urethral strictures: A case series","volume":"29","author":"Alkhayal\n \nA","year":"2022"},{"issue":"1","key":"B1","series-title":"BJU Int","first-page":"6","article-title":"Urethral strictures","volume":"107","author":"Mundy\n \nAR","year":"2011"},{"issue":"1","key":"B2","series-title":"J Urol","first-page":"182","article-title":"Male urethral stricture: AUA guideline","volume":"197","author":"Wessells\n \nH","year":"2017"},{"issue":"2","key":"B3","series-title":"Urol Clin North Am","first-page":"283","article-title":"Anatomy of the urethra and periurethral tissues","volume":"19","author":"Baskin\n \nLS","year":"1992"},{"issue":"5","key":"B4","series-title":"J Urol","first-page":"1667","article-title":"Male urethral stricture disease","volume":"177","author":"Santucci\n \nRA","year":"2007"},{"key":"B5","series-title":"Int J Urol","first-page":"162","article-title":"Prevention of urethral stricture in insertion of an inflatable penile prosthesis","volume":"15","author":"Lee\n \nSW","year":"2008"},{"key":"B6","series-title":"J Urol","first-page":"1918","article-title":"Long-term outcome of urethroplasty after failed urethrotomy versus primary repair","volume":"165","author":"Barbagli\n \nG","year":"2001"},{"issue":"4","key":"B7","series-title":"BJU Int","article-title":"Substitution urethroplasty with buccal mucosal grafts","volume":"88","author":"Andrich\n \nDE","year":"2001"},{"key":"B8","article-title":"Guidelines on urethral strictures [online]","author":"European Association of Urology","year":"2023"},{"issue":"4","key":"B9","series-title":"J Sex Med","first-page":"489","article-title":"Penile Prosthesis Surgery: Current Recommendations From the International Consultation on Sexual Medicine","volume":"13","author":"Levine\n \nLA","year":"2016"},{"issue":"6","key":"B10","series-title":"J Sex Med","first-page":"1783","article-title":"An unusual success with simultaneous urethral repair and reimplantation of penile prosthesis in a patient with urethral stricture induced by rotated tubing","volume":"6","author":"Cui\n \nWS","year":"2009"},{"issue":"7","key":"B11","series-title":"org\/10","first-page":"1106","article-title":"Synchronous urethral repair during prosthetic surgery: Safety of planned and damage control approaches using suprapubic tube urinary diversion","volume":"16","author":"Yi\n \nYA","year":"2019"},{"issue":"1","key":"B12","series-title":"Int J Reconstr Urol","first-page":"39","article-title":"Prosthesis 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