Endourologic reconstruction of post-traumatic obliterated urethral stricture in a young female: a point of technique.
BACKGROUND
A simple endourologic technique for reconstruction of a post-traumatic obliterated urethra in a young unmarried woman is described as an alternative management to complex open urethral reconstruction.


METHODS
A 20-year-old woman presented with a post-traumatic obliterated urethra after a road traffic accident. The cystogram at 6 weeks did not reveal a bladder neck or urethra. The examination under anesthesia showed just a dimple at the presumed external urethral meatus. Antegrade cystoscopy revealed a complete block just distal to the bladder neck. A puncture was made from the external urethral meatus into the bladder through the bladder neck under antegrade cystoscopic guidance. The tract was dilated up to 18F using fascial dilators over a guidewire. A 16F Foley catheter was placed for 6 weeks. The operative time was 30 minutes, with no intraoperative complications. The catheter was removed at 6 weeks. Urethroscopy showed a normal urethra. She performed self-catheterization for the initial 3 months. A micturating cystourethrogram at 3 months revealed a normal urethra. She was continent and stricture free at follow-up of 16 months.


CONCLUSIONS
This technique is simple and easy, with good results in selected cases of post-traumatic complete obliteration of the urethra with an intact bladder neck in young women.
Dogra
P N
PN
Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
Nabi
G
G
D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000628:therapy; D006801:Humans; D009339:Needles; D010384:Pelvic Bones / Q000293:injuries; D011677:Punctures / Q000295:instrumentation / Q000379:methods*; D014521:Urethra / Q000293:injuries*; D014524:Urethral Obstruction / Q000628:therapy*