Repair of pelvic fracture posterior urethral defects using an elaborated perineal approach: experience with 74 cases.


Journal Article

A total of 74 patients with posterior urethral distraction defects (1.5 to 7 cm. long) that followed pelvic fracture was managed by a 1-stage perineal repair. End-to-end anastomosis was performed in all cases but in 66 a variety of surgical maneuvers were necessary to accomplish a tension-free anastomosis. These techniques, which included distal urethral mobilization, corporeal body separation, inferior pubectomy and supracrural urethral rerouting, were resorted to in a sequential manner as needed. Excellent results were achieved in 96% of the cases. These surgical techniques are described and discussed.

Full Text

Duke Authors

Cited Authors

  • Webster, GD; Ramon, J

Published Date

  • April 1991

Published In

Volume / Issue

  • 145 / 4

Start / End Page

  • 744 - 748

PubMed ID

  • 2005693

Pubmed Central ID

  • 2005693

International Standard Serial Number (ISSN)

  • 0022-5347

Digital Object Identifier (DOI)

  • 10.1016/s0022-5347(17)38442-2


  • eng

Conference Location

  • United States