Difficulty : ⭐️⭐️⭐️⭐️⭐️
This type of urethroplasty is both the most difficult and the most frequently performed by a urethral surgeon.
Indeed, iatrogenic multi-operated and multi-dilated stenoses often concern this anatomical zone.
The key points to work on to make these sutures in good conditions are
- training in the anatomy laboratory
- the use of a frame retractor for lateral traction of the bulb
- hyperflexion of the patient’s thighs on the abdomen and the Trendelenburg position, which facilitate exposure of the operating field
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