Reconstruction of traumatic posterior urethral strictures

A. F. Morey, J. W. McAninch

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Reconstruction of posterior urethral disruption injuries is an extremely challenging surgical exercise even in the best of bands. A perineal anastomotic technique is successful in the vast majority of cases. Adequate excision of fibrotic tissue is of paramount importance in ensuring successful outcomes. A wide-caliber, spatulated tension-free bulboprostatic anastomosis is the goal of surgical reconstruction. Excellent long-term results can be expected from anastomotic urethroplasty in patients with traumatic posterior urethral strictures. Nearly all patients can void normally and retain continence postoperatively. Subsequent urethrotomy, when required, carries a high likelihood of success. A significant number of patients regain potency after urethral reconstruction. Persistent impotence probably reflects the severity of pelvic trauma.

Original languageEnglish (US)
Pages (from-to)103-107
Number of pages5
JournalTechniques in urology
Volume3
Issue number2
StatePublished - Sep 25 1997

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Keywords

  • Disruption
  • Prostatomembranous
  • Reconstmction
  • Urethra

ASJC Scopus subject areas

  • Urology

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