SURGICAL TREATMENT OF URETHRAL STRICTURE-3rd Report
1978 Volume 69 Issue 7 Pages 902-910
Details
1978 Volume 69 Issue 7 Pages 902-910
We have performed 20 urethroplastics for posterior urethral strictures between April 1966 and November 1977.
1) There was no danger of urethral necrosis in our pull through method, even if the urethra was, mobilized up to the penoscrotal angle.
2) Urethrogram does not always reveal the true length of the urethral defect, because contraction of the corpus spongiosum makes a longer defect on X-ray than the true defect.
3) The limit of pull through method based on urethrogram was longer than 6cm of urethral defect in the first operation and longer than 5cm in the reoperation.
4) Every effort must be made to avoid impairing the bladder neck, because preservation of bladder neck is only way to be continent of urine in posterior urethral injury.
5) Suprapubic cystostomy should be performed in the patient with pelvic fracture as first aid and urethroplasty should be done as a secondary operation.
