Perineo-transpubic approach to the management of posterior urethral post-traumatic rupture
Anis, J.; Ben Amna, M.; Hajri, M.; Ben Moualli, S.; Bacha, K.; Chebil, M.; Ayed, M.
Annales d'Urologie 36(5): 318-321
2002
ISSN/ISBN: 0003-4401 PMID: 12481623 Document Number: 549398
To study the place of the perineal-trans-pubic approach in the treatment of the posterior urethral post-traumatic rupture operated late, and to evaluate its results. Twenty-four patients whose had a total posterior urethral post-traumatic rupture were treated in our department in a stage of urethral strictures. All patients underwent perineal transpubic urethroplasty. In this study we detailed a technique description of the approach and a clinical evaluation of our results. This technique allows having a direct approach of the posterior urethra, to perform a tension free end to end urethral suture. The backward is about 3 years. We assessed 3 cases of recurrent urethral strictures. The cases of erectile dysfunction assessed were mainly related to the initial pelvic trauma. Finally this approach had not orthopaedic squall in all cases. Comparing to others, the perineal transpubic approach is the best one to manage the posterior urethral injuries treated with late. It gives a satisfactory results with a few disadvantages.