Immediate primary realignment of prostatomembranous urethral disruptions using endourologic techniques.
OBJECTIVE
A new technique is described for primary realignment of prostatomembranous urethral disruptions using endourologic techniques.


METHODS
Realignment was achieved in 3 patients on the day of injury. Primary urethral realignment is achieved by passing a council-tip catheter over a guidewire inserted during antegrade flexible cystourethroscopy.


RESULTS
Three patients underwent successful realignment on the day of injury. With an average follow-up of 6 months, 2 patients are voiding spontaneously without evidence of a urethral stricture; 1 patient developed a structure necessitating delayed urethroplasty. All patients have retained their potency and continence.


CONCLUSIONS
Our technique provides an expeditious, simple, and atraumatic means of obtaining primary realignment of acute prostatomembranous urethral disruptions.
Gheiler
E L
EL
Department of Urology, Wayne State University, Detroit Receiving Hospital, MI 48201, USA.
Frontera
J R
JR
D000328:Adult; D003558:Cystoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate; D013997:Time Factors; D014521:Urethra / Q000293:injuries* / Q000601:surgery*