Reconstruction of traumatic posterior urethral strictures.
Reconstruction of posterior urethral disruption injuries is an extremely challenging surgical exercise even in the best of hands. A perineal anastomotic technique is successful in the vast majority of cases. Adequate excision of fibrotic tissue is of paramount importance in ensuring successful outcomes. A wide-caliber, spatulated tension-free bulboprostatic anastomosis is the goal of surgical reconstruction. Excellent long-term results can be expected from anastomotic urethroplasty in patients with traumatic posterior urethral strictures. Nearly all patients can void normally and retain continence postoperatively. Subsequent urethrotomy, when required, carries a high likelihood of success. A significant number of patients regain potency after urethral reconstruction. Persistent impotence probably reflects the severity of pelvic trauma.
Morey
A F
AF
Department of Urology, University of California, San Francisco, USA.
McAninch
J W
JW
D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011379:Prognosis; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*