Posterior Urethral Stricture Repair
- 1 June 1979
- journal article
- research article
- Published by Wolters Kluwer Health in Journal of Urology
- Vol. 121 (6), 739-742
- https://doi.org/10.1016/s0022-5347(17)56975-x
Abstract
Experience with 54 operations for the membranous-prostatic urethral stricture is presented. There were 7 operations performed through pubectomy exposure, 6 Badenoch operations, 31 exteriorization 2-stage operations using a perineal-scrotal flap of the 1st stage and 10, 1-stage transperineal end-to-end anastomoses after scar tissue had been excised. The technique for the transperineal approach is presented. Presently, a 1-stage end-to-end anastomosis of the bulbomembranous urethra to the prostatic urethra through a perineal approach is preferred. Exteriorization urethroplasty using the perineal-scrotal flap is recommended when an end-to-end anastomosis is not feasible, either because of a long stricture or severe scar secondary to previous operative failures. The pubectomy approach is seldom needed but the Waterhouse pubectomy procedure is recommended as a possibility in patients who cannot be placed in the exaggerated lithotomy position.This publication has 8 references indexed in Scilit:
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- A pull-through operation for the treatment of lesions of the posterior and bulbar urethraInternational Urology and Nephrology, 1973
- The Transpubic Approach to the Lower Urinary TractJournal of Urology, 1973
- Management of Dismemberment of the Prostatic-Membranous Urethra and Ensuing Stricture DiseaseJournal of Urology, 1972
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