title: Use of anastomotic urethroplasty with partial pubectomy for posterior urethral obliteration injuries: 10 years experience.
abstract: OBJECTIVE
  Management of pelvic trauma-induced posterior urethral disruption due can be quite controversial and challenging.
  
  
  METHODS
  Posterior urethral obliteration cases at the membranous urethra (n = 154) were analyzed from January 1997 to December 2006. The mean length of the urethral obliteration was 4.82 +/- 1.1 cm (range 3.5-6 cm). All patients underwent excision and primary bulboprostatic anastomosis with a perineal approach partial pubectomy.
  
  
  RESULTS
  The percentage of overall successful surgeries (defined by Qmax values > 15 ml/s) was 85.1%, and the mean Qmax value was 22.94 +/- 5.7 cm/s without post-operative incontinence. Short anastomotic strictures developed 1-3 months post-operatively in 23 cases with persistent voiding difficulties.
  
  
  CONCLUSIONS
  Partial pubectomy is a feasible therapeutic option in patients with long urethral obliteration and may provide effective surgical results for post-traumatic posterior urethral strictures.
authors.affiliation: Department of Urology, Shanghai 6th Hospital, 200233 Shanghai, People's Republic of China. jamesqfu@yahoo.com.cn
authors.forename: Qiang
authors.initials: Q
authors.lastname: Fu
authors.forename: Yue-Min
authors.initials: YM
authors.lastname: Xu
authors.forename: Jiong
authors.initials: J
authors.lastname: Zhang
authors.forename: San-Bao
authors.initials: SB
authors.lastname: Jin
authors.forename: Yin-Long
authors.initials: YL
authors.lastname: Sa
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D002648:Child; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D013997:Time Factors; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult