[Treatment of complete rupture of the posterior urethra by endoscopic realignment].
OBJECTIVE
To assess the efficacy and benefit of treatment of complete rupture of the posterior urethra by endoscopic realignment.


METHODS
Between 1991 and June 1998, 14 men were hospitalised for complete traumatic rupture of the posterior urethra: 13 of them were treated by endoscopic realignment.


RESULTS
With a mean follow-up of 29 months, all patients are continent and urinate with a satisfactory urinary stream. Two patients developed an urethral stricture and three others developed two urethral strictures treated by internal urethrotomy (38.4%). Three patients are impotent, one following embolization of both hypogastric arteries (23%).


CONCLUSIONS
Endoscopic realignment of complete rupture of the posterior urethra is a simple, minimally invasive technique, allowing optimal preservation of continence and erection in these young patients. It may induce urethral strictires which can be effectively treated endoscopically and which can be prevented by systematic use of self-calibration of the urethra.
Tahan
H
H
Service de Chirurgie Urologique-Andrologie, Hôpital du Bocage, Dijon, France.
Randrianantenaina
A
A
Michel
F
F
D000293:Adolescent; D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012421:Rupture / Q000601:surgery; D013997:Time Factors; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D014524:Urethral Obstruction / Q000209:etiology; D014554:Urination / Q000502:physiology
Traitement des ruptures complètes de l'urèthre postérieur par réalignement endoscopique.