Treatment of complete rupture of the posterior urethra by endoscopic realignment
Tahan, H.; Randrianantenaina, A.; Michel, F.
Progres en Urologie Journal de l'Association Francaise d'Urologie et de la Societe Francaise d'Urologie 9(3): 489-495
1999
ISSN/ISBN: 1166-7087 PMID: 10434323 Document Number: 508176
To assess the efficacy and benefit of treatment of complete rupture of the posterior urethra by endoscopic realignment. Between 1991 and June 1998, 14 men were hospitalised for complete traumatic rupture of the posterior urethra: 13 of them were treated by endoscopic realignment. With a mean follow-up of 29 months, all patients are continent and urinate with a satisfactory urinary stream. Two patients developed an urethral stricture and three others developed two urethral strictures treated by internal urethrotomy (38.4%). Three patients are impotent, one following embolization of both hypogastric arteries (23%). Endoscopic realignment of complete rupture of the posterior urethra is a simple, minimally invasive technique, allowing optimal preservation of continence and erection in these young patients. It may induce urethral strictires which can be effectively treated endoscopically and which can be prevented by systematic use of self-calibration of the urethra.