The Retrospective Study of 10 Years Experience of in Treantment of Traumatic Posterior Urethral Strictures by Transperineal Urethra End-to-end Anastomosis

VernacularTitle:经会阴途径后尿道端端吻合术治疗创伤性后尿道狭窄十年回顾性研究
Author: FU QIANG ¹ ; ZHANG JIONG ; SA YINGLONG ; JIN SANBAO ; XU YUEMIN
Author Information

1. 上海交通大学医学院附属第六人民医院
Keywords: urethral stricture; urethroplasty; transperineal
From: Journal of Clinical Urology 2009;24(7):490-492
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the results of different urethroplastis for different severity' of urethral stric-ture. Methods:From January 1997 to December 2006, 296 patients with posterior urethral striciures due to pelvic fracture urethral distraction defects (PFUDD) were included in the study. Transperineal urethsa end-to-end anas-tomosis was performed: 70 patients (group Ⅰ) with simple perineal anastomosis; 70 patients (group Ⅱ) with separation of the corporeal bodies; 154 patients (group Ⅲ) with inferior pubectomy; 2 patients (group Ⅳ) with perineal anastomosis with rerouting of the urethra around the corpora cavernosum. Results:Of 296 cases with de-layed transperineal urethra end-to-end anastomosis procedures, 254 (85.8%) cases were successful and 42 (14.2%) were unsuccessful. Group Ⅰ had an 78. 6% success rate, group Ⅱ 90.0% , group Ⅲ 88.3% , and Group Ⅳ zero. Conclusions : Different transperineal posterior urethroplasty operations are efficient to treat urethral strictures following PFUDD.