Use of anastomotic urethroplasty with partial pubectomy for posterior urethral obliteration injuries: 10 years experience.
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.
Fu
Qiang
Q
Department of Urology, Shanghai 6th Hospital, 200233 Shanghai, People's Republic of China. jamesqfu@yahoo.com.cn
Xu
Yue-Min
YM
Zhang
Jiong
J
Jin
San-Bao
SB
Sa
Yin-Long
YL
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