[The value of mobilization of the prostatic region via perineal approach in the treatment of ruptures and stenoses of the posterior urethra].
11 cases of end to end anastomosis associated with the mobilization of the prostate is reported. The authors use only the perineal access. The operation is utilised in two circumstances: injuries or traumatic strictures to the membranous urethra. 4 ruptured prostato-membranous urethras with 4 good results. 7 stenosis with 5 good results. 2 recurrences which one of them had a good result with a simple urethrotomy. Complication: no incontinence. 2 cases of impotence are noted. One of them had recovered, the other is secondary of the pelvic fracture. Follow up: mean 3 years (6 months-5 years).


CONCLUSIONS
our experience suggest that the mobilization of the prostate is an excellent aid to end to end anastomosis. This technique permits the only perineal access.
L'Hermite
J
J
Service d'Urologie, CHU Nancy Brabois, Vandoeuvre les Nancy.
Chopin
G
G
Hubert
J
J
Six
A
A
Guillemin
P
P
D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D012421:Rupture; D013514:Surgical Procedures, Operative / Q000379:methods; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D014524:Urethral Obstruction / Q000209:etiology / Q000601:surgery*; D014947:Wounds and Injuries / Q000150:complications
Intérêt de la mobilisation du bloc prostatique par voie périnéale dans le traitement des ruptures et sténoses de l'urètre postérieur.