# Entero-Urethroplasty for Bulbar Urethral Necrosis

## TL;DR

A new surgical technique using the ascending colon was used to treat a complex urethral injury caused by tissue death after a previous surgery.

## Contribution

The paper presents a novel approach using ascending colon substitution for ischemic bulbar urethral necrosis.

## Key findings

- Ischemic necrosis of the bulbar urethra can lead to complex strictures after perineal urethroplasty.
- Ascending colon substitution urethroplasty offers an alternative to traditional vascular reconstruction and grafting methods.

## Abstract

Ischemic necrosis of the bulbar urethra after perineal urethroplasty can lead to complex, long-segment strictures. Traditional approaches often involve vascular reconstruction followed by transpubic urethroplasty. A 20-year-old man presented with a posterior urethral injury resulting in urethral distraction following a road traffic accident. He underwent anastomotic urethroplasty 10 months later, which then failed. We employed ascending colon substitution urethroplasty to manage a case of ischemic bulbar necrosis, offering an alternative to tubed flap or staged grafting procedures.