[Urethroplasty and simultaneous perineal prostatectomy after traumatic urethral disruption and carcinoma of the prostate].
We present a case of post-traumatic posterior urethral stricture and localized prostate cancer, which could be treated successfully with simultaneous radical perineal prostatectomy and membranous urethral stricture excision. After 6 months follow-up, the patient is continent with no evidence of stricture recurrence. Post-traumatic posterior urethral strictures can be managed surgically through a perineal approach with high success rates. Prostate surgery after pelvic fracture with posterior urethral distraction defects does not necessarily lead to stress urinary incontinence.
Gillitzer
R
R
Urologische Klinik und Poliklinik, Johannes-Gutenberg-Universität, Langenbeckstrasse 1, 55131, Mainz. gillitze@mail.uni-mainz.de
Hampel
C
C
Pahernik
S
S
Melchior
S W
SW
Thüroff
J W
JW
D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D000714:Anastomosis, Surgical; D000818:Animals; D003558:Cystoscopy; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014521:Urethra / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014525:Urethral Stricture / Q000000981:diagnostic imaging* / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014567:Urography