Posterior urethroplasty is the most common strategy for the treatment of post-traumatic urethral injuries. Especially in younger patients, post-traumatic injuries are a common reason for urethral strictures caused by road traffic accidents, with pelvic fracture or direct trauma to the perineum. In many cases early endoscopic realignment is the first attempt to restore the junction between proxi...

(This section is meant for residents to check their understanding regarding a particular topic) QUESTIONS

OBJECTIVE To review the results of the operative treatment of posterior urethral injuries in children. PATIENTS AND METHODS A total of 29 children (25 boys and two girls, age range 3-14 years) with injuries to the posterior urethra were admitted to this department over 14 years. Twenty-three patients presented immediately after trauma and six were referred after unsuccessful attempt(s) at sur...

Introduction Posterior urethral valves (PUVs) are a rare malformation in the subcollicular region of the male urethra. They cause varying obstructions of the lower urinary tract. The resulting secondary pathological conditions extend from mild—in part, clinically unmanifested—urinary dysfunctions to severe, bilateral changes in the upper urinary tract and associated renal failure. The literatur...

Pelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, but what is not controversial is that when there is the development of a stricture (which is usual...