Retreat from transpubic urethroplasty for obliterated membranous urethral strictures

S. F. Lieberman, J. M. Barry

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

A direct vision urethrotome was used to incise the perineal membrane and join the proximal bulbous urethra to the dorsal prostate in 4 men with totally obliterated posterior urethras following pelvic fractures. All 4 patients have maintained patent urethras for 2 to 9 months. Progressive dilation has not been required in 3 men. A repeat internal urethrotomy was necessary in 1 patient who currently requires urethral sounding every 6 weeks. A comparison with 8 previous transpubic urethroplasties for the same surgical problem revealed a significant decrease in blood loss and hospital stay with direct vision urethrotomy. Transurethral incision of the obliterated posterior urethra following a crushing injury to the pelvis may be a reasonable initial procedure for restoring urethral continuity prior to more extensive urethroplasty.

Original languageEnglish (US)
Pages (from-to)379-381
Number of pages3
JournalJournal of Urology
Volume128
Issue number2
DOIs
StatePublished - Jan 1 1982

ASJC Scopus subject areas

  • Urology

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