Use of anastomotic urethroplasty with partial pubectomy for posterior urethral obliteration injuries: 10 years experience.

ABSTRACT

PURPOSE: Management of pelvic trauma-induced posterior urethral disruption due can be quite controversial and challenging. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.