Repair of Complicated Posterior Urethral Stricture Using Inferior Pubectomy and Gracilis Muscle Flap.
- Author:
Byeong Gon GONG
1
;
Young Tae LEE
Author Information
1. Department of Urology, Pundang CHA Hospital, Pochon CHA University College of Medicine, Sungnam, Korea.
- Publication Type:Original Article
- Keywords:
Complicated posterior urethral stricture;
Gracilis muscle flap;
Urethroplasty;
Inferior pubectomy
- MeSH:
Erectile Dysfunction;
Humans;
Incidence;
Male;
Pelvic Bones;
Urethral Stricture*
- From:Korean Journal of Urology
2002;43(10):862-865
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the usefulness of an inferior pubectomy and a gracilis muscle flap for the reconstruction of a complicated posterior urethral stricture, where urethroplasty had failed, or due to a long urethral defect. MATERIALS AND METHODS: A total of sixty eight patients with complicated posterior urethral strictures, following a pelvic bone fracture, were managed by a one-stage perineal repair at Pundang CHA hospital between March 1998 and April 2002. End-to-end anastomosis was performed in all cases, with corporeal body separation, or an inferior pubectomy and transposition of the gracilis muscle flap performed in a progressive manner if required. RESULTS: The success rate of all the cases was 95.6%. Additional procedures made no differences to the incidence of impotence, and the incidences of restricture and incontinence were low. CONCLUSIONS: Our results shows that an inferior pubectomy and a gracilis muscle flap can be useful methods in the treatment and prevention of incontinence and restricture in most cases of complicated posterior urethral strictures.
