1. Use of anastomotic urethroplasty with partial pubectomy for posterior urethral obliteration injuries: 10 years experience.
- Author
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Qiang Fu, Yue-Min Xu, Jiong Zhang, San-Bao Jin, and Yin-Long Sa
- Subjects
URETHROPLASTY ,SURGICAL excision ,SURGICAL anastomosis ,URINARY incontinence ,URETHRA stricture ,URETHRA surgery - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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