Management of men with ultra-short penile urethral stricture using augmented anastomotic penile skin flap urethroplasty; a retrospective analysis

Abstract Background The management of short anterior urethral stricture is challenging. Our study aims to evaluate the outcome augmented anastomotic urethroplasty (AAU) for men with ultra-short penile stricture, and compare it dorsal onlay buccal mucosa graft. Methods Databases two tertiary referral centres were retrospectively reviewed retrieve data who underwent from 2013 2020. Patients AAU ventral pedicled skin flap considered group, while patients treated graft augmentation included as controls. Surgical outcomes patency, improvement in maximum flow rate (Qmax), change sexual satisfaction, any reported complications. Results Thirty-four (and 30 controls) a median age 26–27 years study. improved significantly both groups compared preoperative value ( p < 0.001). success was 88% group 76.7% control group. There no statistically significant difference frequency postoperative curvature nor sacculation between = 0.788 0.913). operative time longer 0.044), void dripping much higher 0.007). Conclusion complications comparable