L'uretrorraphie termino-terminale tardive dans la rupture post-traumatique de l'uretre posterieur

ABSTRACT

"Objective: To analyse the long-term results of the treatment of post-traumatic posterior urethral rupture by delayed bulboprostatic anastomotic repair and to evaluate the efficacy and advantages of this technique. Patients and Methods: Between February 1989 and February 2004; 15 patients underwent delayed bulboprostatic anastomotic repair of post-traumatic posterior urethral ruptures. The results were evaluated taking into account the quality of micturition; continence and erectile function. Results: After an average follow-up period of 34 months (range 12 - 72 months); all our 15 patients were continent and voided with a satisfactory flow. To achieve this result; 5 patients (33;3) had to undergo internal ureterotomy. Only 4 patients (26.7) reported erectile problems. Conclusion: Delayed bulboprostatic anastomotic repair remains the ""gold standard"" in the treatment of post-traumatic posterior urethral rupture. Compared to other methods of treatment of post-traumatic stenosis of the ureter; this technique allows for a long-term success with minimal complications."