title: [Modified urethral pull-through procedure for posterior urethral stricture or atresia].
abstract: OBJECTIVE
  To evaluate the feasibility and safety of the modified urethral pull-through procedure for the treatment of posterior urethral stricture or atresia.
  
  
  METHODS
  We retrospectively analyzed 212 cases of posterior urethral stricture or atresia treated by the modified urethral pull-through procedure. The length of the stricture or atresia was 1.5 - 12 cm, and 66 cases had experienced 1 - 4 previous unsuccessful urethral repairs. Simple transperineal approach was adopted in 208 cases and transperineal-inferiorpubic approach in the other 4. And 15 of the patients underwent urethral construction with grafts.
  
  
  RESULTS
  Satisfactory voiding was achieved in 198 (93.4%) of the patients, of whom 16 received 3 - 15 urethral dilations. Of the 14 cases that failed, 10 succeeded after a second and 2 after a third operation. Of the 15 cases that underwent substitution urethroplasty, 14 achieved satisfactory voiding, and only 1 needed repeat dilation. No serious complications were observed in any of the patients.
  
  
  CONCLUSIONS
  Modified urethral pull-through procedure, with its advantages of safety, mini-invasiveness, simple operation and high success rate, is feasible for the treatment of posterior urethral stricture or atresia, while for that with the length >5 cm, substitution urethroplasty should be considered.
authors: Department of Urology, The 175th Hospital of PLA/Dongnan Hospital Affiliated to Xiamen University School of Medicine, Zhangzhou, Fujian 363000, China. xqxiang@163.com
authors: Qing-xiang
authors: QX
authors: Xie
authors: Cong-xiang
authors: CX
authors: Hang
authors: Li
authors: L
authors: Zhao
authors: Hong-wei
authors: HW
authors: Huang
authors: Xia-cong
authors: XC
authors: Lin
authors: Zhi-ming
authors: ZM
authors: Xie
authors: Zhi
authors: Z
authors: Hu
authors: Xian-zhong
authors: XZ
authors: Zhu
authors: Wei-jie
authors: WJ
authors: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*; D055815:Young Adult