Simple perineal and elaborated perineal posterior urethroplasty

Simple perineal and elaborated perineal posterior urethroplasty

A pelvic fracture urethral distraction defect (PFUDD) can present in varying lengths and degrees of complexity. In recent decades the repair of PFUDD has developed into a reliance on a perineal anastomotic approach for all but the most complex cases, which might still require an abdominal transpubic approach, or rarely a staged skin-inlay procedure. There is now controversy about the extent to ...

Delayed Single Stage Perineal Posterior Urethroplasty.

OBJECTIVE To determine the delayed single stage perineal posterior urethroplasty for treatment of posterior urethral stricture/distraction defect. STUDY DESIGN Descriptive case series. PLACE AND DURATION OF STUDY Department of Urology, Jinnah Postgraduate Medical Centre, Karachi, from January 2009 to December 2011. METHODOLOGY Patients were selected for delayed single stage perineal poste...

Complex posterior urethral disruptions: management by combined abdominal transpubic perineal urethroplasty.

PURPOSE We present our short-term results of abdominal transpubic perineal urethroplasty for complex posterior urethral disruption. MATERIALS AND METHODS From January 2000 to March 2005, 21 patients with complex posterior urethral disruption underwent abdominal transpubic perineal urethroplasty. Complex disruption was defined as stricture gap exceeding 3 cm or associated perineal fistulas, re...

The use of suprapubic cystoscopy in perineal urethroplasty.

OBJECTIVE Posterior urethral strictures are difficult cases to treat for urologists. Anastomotic open urethroplasty is the major surgical treatment option, and various modifications/manipulations to the procedure have been recommended in the literature. We aimed to assess the advantages of performing antegrade endoscopy through the suprapubic cystostomy tract during perineal urethroplasty. MA...

A Simple Perineal Operation, as Used in Cases of Prolapsus Uteri and for Perineal Repair