The important subject of the treatment of urethral stricture by excision is given very scant attention in the textbooks of general surgery, and not much more by the authors writing on the specialty of urology.
Resection of strictures as a surgical procedure for effecting a relative cure of permanent duration has never gained great popularity with the surgical world, chiefly because of lack of accurate knowledge of the anatomy of the urethra and the perineum, and of the ever present fear that the removal of any portion of the corpus spongiosum will result in lasting multilation, with prevention of erection, and impotence. There has also been a natural apprehension that after the removal of sections of the canal of considerable extent, there might result a necrosis of the approximated cut ends. For these reasons, reports of resections have usually been confined to the results obtained from the removal of the
MacGOWAN G. THE TREATMENT OF URETHRAL STRICTURE BY EXCISION. JAMA. 1923;81(22):1831–1836. doi:10.1001/jama.1923.02650220001001
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