+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Reconstruction of posterior urethral disruption injuries: Outcome analysis in 82 patients

Reconstruction of posterior urethral disruption injuries: Outcome analysis in 82 patients

Journal of Urology 157(2): 506-510

Purpose: We sought to identify the long-term success rate of perineal anastomotic reconstruction for posterior urethral disruption. Materials and Methods: We reviewed the records of 82 patients with traumatic prostatomembranous urethral strictures who underwent perineal anastomotic urethroplasty by 1 surgeon. Results: Excision of fibrosis with simple perineal anastomosis was performed in 52 patients (63%), while pubectomy was required in 30 (37%) to obtain a tension-free anastomosis. Median follow-up was longer than 1 year. Potency improved from 46% before reconstruction to 62% postoperatively. Nine patients (11%) required 1 endoscopic urethrotomy after urethroplasty to improve flow rate and this procedure was successful in 8 (88%). In 3 patients (3%) urethroplasty ultimately failed and they remained untreated because of insurmountable co-morbidity. Overall, long-term success was observed in 79 patients (97%). Conclusions: Excellent long-term results can be expected from anastomotic urethroplasty in patients with traumatic posterior urethral strictures. Subsequent urethrotomy, when required, has a high likelihood of success. A significant number of patients regain potency after urethral reconstruction. Persistent impotence probably reflects the severity of pelvic trauma.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 009308517

Download citation: RISBibTeXText

PMID: 8996343

DOI: 10.1016/s0022-5347(01)65188-7

Related references

Tips for successful open surgical reconstruction of posterior urethral disruption injuries. Urologic Clinics of North America 40(3): 381-392, 2013

Urethral reconstruction for traumatic posterior urethral disruption: outcomes of a 25-year experience. Journal of Urology 178(5): 2006, 2007

A new option for the management of urethral trauma: primary reconstruction of posterior urethral disruption with a buccal mucosa transplant. International Urology and Nephrology 37(3): 521-523, 2005

Reconstruction of posterior urethral disruption. Urologic Clinics of North America 29(2): 429, 2002

Endourological reconstruction of posterior urethral disruption. Journal of Urology 137(2): 283-286, 1987

Results of delayed repair of posterior urethral disruption injuries in Maiduguri. Surgical Practice 17(3): 92-96, 2013

Reconstruction of posterior urethral disruption: tips for success from our experience and from a literature review. Hinyokika Kiyo. Acta Urologica Japonica 50(10): 729-735, 2004

Simplified reconstruction of posterior urethral disruption defects: limited role of supracrural rerouting. Journal of Urology 177(4): 1378-81; Discussion 1381-2, 2007

Reconstruction and management of posterior urethral and straddle injuries of the urethra. Urologic Clinics of North America 33(1): 97, 2006

Outcome of pull-in procedure in children with severe post-disruption posterior urethral strictures. Pediatric Surgery International 17(5-6): 414-417, 2001

Repeat urethroplasty after failed urethral reconstruction: outcome analysis of 130 patients. Journal of Urology 188(6): 2260-2264, 2012

UREThRAL Stricture Score can predict surgical outcome of urethral reconstruction in patients with anterior urethral stricture. European Urology Suppl.s 16(3): E488-E489, 2017

Posterior urethral injuries associated with motorcycle accidents and pelvic trauma in adolescents: analysis of urethral lesions occurring prior to a bony fracture using a computerized finite-element model. Journal of Pediatric Urology 9(1): 62-70, 2013

Early realignment of posterior urethral disruption Experience with 57 patients. Journal of Urology 167(4 Suppl.): 14, 2002

SIU/ICUD Consultation On Urethral Strictures: Epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, strictures, and pelvic fracture urethral disruption injuries. Urology 83(3 Suppl): S1-S7, 2014