Anastomotic urethroplasty in posttraumatic strictures of bulbomembraneous urethra
Zhivov, A.V.; Loran, O.B.; Bogdanov, A.B.; Kotov, S.V.; Makedonskaia, T.P.; Plekhanov, A.I.
Urologiia 5: 41-46
2010
ISSN/ISBN: 1728-2985 PMID: 21254640 Document Number: 639466
Efficacy of surgical treatment of patients with strictures of the bulbomembraneous portion of the urethra by R. Turner-Warwick in G. Webster modification was studied in 30 patients operated in 2008-2009. Efficacy of the operation was assessed by uroflowmetry and urethrography findings. Follow-up covered 3 to 20 months (median 10 months). Posttraumatic urethral strictures arose after car accident in 89% cases. Mean length of the destruction defect was 2.7 cm (1.5-5.5 cm). Efficacy of surgical treatment reached 96.7%. Erectile dysfunction due to the operation developed in 2 of 23 (8.6%) patients. Thus, urethroplasty by Turner-Warwick in Webster modification is effective and safe in the treatment of posttraumatic strictures of the posterior urethra and can be used widely in specialized centers for urethral surgery.