Perforation-reconstitution of proximal urethral obliteration.
Post-traumatic or failed postoperative proximal urethral obliteration commonly is managed by technically demanding transpubic procedures. Five cases are reported, which were treated successfully by forceful retrograde perforation with a urethral sound guided by a finger inserted into the prostatic urethra. Temporary urethral catheterization followed by a program of daily self-dilation by catheter during maturation of the tract, with visual urethrotomy as required, facilitated healing.
D000328:Adult; D004106:Dilatation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012648:Self Care; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D014546:Urinary Catheterization