Abstract
Transperineal bulbo-prostatic anastomotic urethroplasty is the procedure of choice for the treatment of pelvic-fracture urethral distraction defects. Surgery is usually performed at 3–6 months after the injury. Endoscopic urethroplasty may prove to be an alternative if long-term follow-up confirms the initial enthusiasm for the procedure. Alternative urethroplasty techniques have not proved appropriate in long-term follow-up. The procedure depends on a progressive series of steps to capitalise on the elastisity of the urethra and then straighten out the natural curve of bulbar urethra. A retropubic or (truly) transpubic approach is rarely necessary except for complicated problems. The restricture rate is approximately 10% and is generally associated with poor vascularity. Other complications are generally the complications of the original injury rather than of the procedure itself.
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Mundy, A. Transperineal bulbo-prostatic anastomotic urethroplasty. World J Urol 16, 164–170 (1998). https://doi.org/10.1007/s003450050046
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DOI: https://doi.org/10.1007/s003450050046