Urethral stricture disease is a common urological condition that can lead to obstructive voiding symptoms, urinary retention, and recurrent infections. Strictures are caused by trauma, infections, or iatrogenic factors like prolonged catheterization. The mucosal-sparing augmented non-transected anastomotic (MsANTA) urethroplasty aims to preserve urethral mucosa and vascular integrity, reducing complications such as fibrosis and restenosis. This report presents the first MsANTA urethroplasty performed in the Philippines.

A 19-year-old male with irritative lower urinary tract symptoms and acute urinary retention following ventriculostomy developed a 1.5 cm bulbar urethral stricture. He underwent MsANTA urethroplasty, involving perineal dissection, dorsal urethrotomy, and mucosal reapproximation with a buccal mucosal graft. The patient had an uncomplicated recovery, improved urinary flow, and no recurrence at 6-month follow-up.

MsANTA urethroplasty presents a novel technique for managing short-segment, non-traumatic bulbar strictures by preserving native vascularity and minimizing surgical trauma. This case highlights its potential as a safer alternative to traditional approaches, with fewer complications.

MsANTA urethroplasty is a promising and effective technique for bulbar strictures. Further studies are needed to confirm its efficacy and potential role as a standard of care.