Bladder flap posterior urethroplasty (Faseeh's technique).
Posterior urethral distraction defects are common nowadays because of increased incidence of road traffic accidents (RTA) and FALL. Approximately 90% are associated with pelvic fracture. Initial suprapubic cystostomy followed by delayed single stage end-to-end perineal urethroplasty, in most of these cases, is current mode of treatment. We feel the most important factor in determination of outcome is the length of distraction defect of the posterior urethra. In many cases, the gap between the two stumps exceeds 05 cms. This, coupled with the distorted anatomy of pelvis, can render end-to-end anastomoses impossible, despite all the claims made in literature. We have used an attached bladder flap to overcome this difficult situation. The results of the procedure evaluated by Uroflowmetry (UFM) micturating cystourethrogram and urethroscopy are very encouraging. We report this new technique for further evaluation.
Faseehuddin
Qazi
Q
Department of Urology, Jinnah Postgraduate Medical Centre, Karachi.
Ali
Shahzad
S
D000328:Adult; D003559:Cystostomy / Q000379:methods*; D050723:Fractures, Bone; D006801:Humans; D008297:Male; D010388:Pelvis / Q000293:injuries*; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D014563:Urodynamics