instruction: hello doctor may I know if you have done urethroplasty in the distal penile urethra using the excision and primary anastomosis epa technique are you personally familiar with any such case if so was the surgery successful did the surgery cause penile curvature if so how many degrees did it had what was the structure length thanks
output: hi I am a urologist and I have performed urethroplasties but excision and primary anastomosis is the procedure of choice only in short segment urethral strictures and they occur in the majority of traumatic urethral strictures that occur in the proximal urethra such a structure in distal urethra is rare however I had to do excision and primary anastomosis in an iatrogenic distal penile urethral injury wherein the surgeon had badly damaged distal penile urethra during an attempt to dilate the distal urethra I was called intraoperative the urethral plate was badly damaged in that case for only am I did excise that part and anastomosed end to end and the result was excellent and there was no postoperative chordee bending other than this case I have not done any era in distal urethra