title: Unsuccessful outcomes after posterior urethroplasty.
abstract: Posterior urethroplasty is the most common strategy for the treatment of post-traumatic urethral injuries. Especially in younger patients, post-traumatic injuries are a common reason for urethral strictures caused by road traffic accidents, with pelvic fracture or direct trauma to the perineum. In many cases early endoscopic realignment is the first attempt to restore the junction between proximal and distal urethra, but in some cases primary realignment is not possible or not enough to treat the urethral injury. In these cases suprapubic cystostomy alone and delayed repair by stricture excision and posterior urethroplasty is an alternative procedure to minimise the risk of stricture recurrence.
authors.affiliation: University Medical Center Hamburg-Eppendorf, Germany.
authors.forename: Oliver
authors.initials: O
authors.lastname: Engel
authors.affiliation: University Medical Center Hamburg-Eppendorf, Germany.
authors.forename: Margit
authors.initials: M
authors.lastname: Fisch
keywords: DVIU, direct-vision internal urethrotomy; PU, posterior urethroplasty; Pelvic fracture; Post-traumatic stricture; Posterior urethroplasty; Urethral injury