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The following is a summary of “Transmeatal urethral surgery (TraMUS): technique and one-year outcomes in the management of penile urethral strictures,” published in the May 2025 issue of World Journal of Urology by Tolbert et al. 

Researchers conducted a retrospective study to describe the technique and early outcomes of transmeatal urethroplasty for penile urethral strictures.  

They reviewed a database of individuals who underwent transmeatal urethral surgery for penile urethral strictures at a single institution. The procedure used the extended Nikolavsky technique with a buccal mucosal graft. The study population included individuals with lichen sclerosis and those with a history of hypospadias. A detailed surgical protocol and structured postoperative care approach were outlined.  

The results showed that 13 individuals underwent treatment for penile urethral strictures. Causes included iatrogenic (n = 6), lichen sclerosis (n = 2), and hypospadias (n = 3). The average buccal mucosal graft length was 6.5 cm (range 3–15 cm) and 2 individuals were lost to follow-up at 4 months and 8 months, respectively. The median follow-up duration was 14 months (range 11–28 months). Among the 11 individuals with 1 -year data, 1 experienced failure at 3 months, reflecting a 91% primary success rate. De novo incontinence occurred in 1 individual (9%). No other complications directly related to the procedure were reported.  

Investigators concluded that the transmeatal technique for managing penile urethral strictures showed a 91% success rate in 1 year and reduced risks associated with conventional surgery. 

Source: link.springer.com/article/10.1007/s00345-025-05718-x