Use of anastomotic urethroplasty with partial pubectomy for posterior urethral obliteration injuries: 10 years experience

Abstract

Management of pelvic trauma-induced posterior urethral disruption due can be quite controversial and challenging. 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. 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. 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.

DOI: 10.1007/s00345-009-0394-0

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Cite this paper

@article{Fu2009UseOA, title={Use of anastomotic urethroplasty with partial pubectomy for posterior urethral obliteration injuries: 10 years experience}, author={Qiang Fu and Yue-min Xu and Jiong Yi Zhang and San-bao Jin and Yin-Long Sa}, journal={World Journal of Urology}, year={2009}, volume={27}, pages={695-699} }