End-to-end anastomosis

The surgical technique of “End-to-end anastomosis” is made by transecting the urethra at the level of the stricture site, removing the scar tissue and performing a direct anastomosis between the two urethral edges (figure 1). This surgical technique is one of the fist operations described in the repair of urethral strictures.
In patients with penile urethral strictures, the surgical technique of End-to-end anastomosis is generally suggested in the following cases:

  • patients with urethral strictures, not more than 2 cm in length (figure 2).

In patients with penile urethral strictures, the surgical technique of End-to-end anastomosis may cause a penile chordee.