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The management of strictures of the membranous urethra.

Publication ,  Journal Article
Webster, GD; Sihelnik, S
Published in: J Urol
September 1985

We present 40 cases of posterior urethral stricture resulting from pelvic fracture injury or prostatectomy. The strictures were managed according to various factors but most important were stricture length and the absence of pathological conditions in the anterior urethra. Post-traumatic obliterative strictures less than 2 cm. long can be managed with excellent success via a 1-stage perineal bulboprostatic anastomotic repair. Combined abdominoperineal procedures are equally successful but are reserved for patients in whom the stricture is more than 2 cm. long or who have an associated bladder neck pathological condition. When associated anterior urethral disease mitigates against mobilization and extension of the urethra to accomplish an anastomotic repair, the vascularized island flap or 2-stage scrotal inlay procedure appears to be the optimal choice. Of 3 failures with full thickness skin grafts 2 may have been owing to suboptimal graft beds in the scarred pelvic floor and perineum. Direct vision urethrotomy is advocated for nonobliterative posttraumatic strictures, and the rationale for dilation rather than urethroplasty management of postprostatectomy strictures is presented.

Duke Scholars

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

September 1985

Volume

134

Issue

3

Start / End Page

469 / 473

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urethral Stricture
  • Urethra
  • Surgical Flaps
  • Radiography
  • Prostatectomy
  • Postoperative Complications
  • Pelvic Bones
  • Male
  • Humans
 

Citation

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Webster, G. D., & Sihelnik, S. (1985). The management of strictures of the membranous urethra. J Urol, 134(3), 469–473. https://doi.org/10.1016/s0022-5347(17)47243-0
Webster, G. D., and S. Sihelnik. “The management of strictures of the membranous urethra.J Urol 134, no. 3 (September 1985): 469–73. https://doi.org/10.1016/s0022-5347(17)47243-0.
Webster GD, Sihelnik S. The management of strictures of the membranous urethra. J Urol. 1985 Sep;134(3):469–73.
Webster, G. D., and S. Sihelnik. “The management of strictures of the membranous urethra.J Urol, vol. 134, no. 3, Sept. 1985, pp. 469–73. Pubmed, doi:10.1016/s0022-5347(17)47243-0.
Webster GD, Sihelnik S. The management of strictures of the membranous urethra. J Urol. 1985 Sep;134(3):469–473.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

September 1985

Volume

134

Issue

3

Start / End Page

469 / 473

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urethral Stricture
  • Urethra
  • Surgical Flaps
  • Radiography
  • Prostatectomy
  • Postoperative Complications
  • Pelvic Bones
  • Male
  • Humans