Segmental urethrectomy and urethrorrhaphy for treatment of fresh and late traumatic urethral lesions.
For 16 years we have used segmental urethrectomy with end-to-end urethrorrhaphy for treatment of traumatic urethral lesions, in preference to two-stage urethroplasties. The approach has been transperineal, retropubic, and if necessary transpubic. Good results in 41 cases with long-term follow-up allow us to say that this is a good operation. It provides in two thirds of the patients a correct and stable urethral stream, complete bladder emptying, and does not affect urinary control or sexual function if this was normal following the injury.
D000328:Adult; D002408:Catheters, Indwelling; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D008297:Male; D008722:Methods; D010384:Pelvic Bones / Q000293:injuries; D010502:Perineum / Q000293:injuries / Q000601:surgery; D013530:Surgical Wound Infection / Q000209:etiology; D013567:Symphysiotomy; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology; D014567:Urography