Endoscopic management of posterior urethral disruption associated with fracture pelvis

ABSTRACT

We managed 4 cases of posterior urethral disruption following fracture pelvis, by endoscopic realignment, 11 to 14 days after injury. We used rigid endoscopes through suprapubic tract and distal urethra, for the procedure. A guide wire was passed through suprapubic cystoscope into the urinary bladder and across the disrupted posterior urethra into the distal urethra. Silicone Foleys type catheter was passed per urethra over guide wire into the bladder for 4 weeks. Intermittent self catheterisation was advised for 6 months after removal of urethral and suprapubic catheters. Good results were achieved in 3 cases, who are stricture free, continent and potent. One patient is stricture free, potent but is incontinent of urine. This technique has reduced morbidity rate and does not adversely affect subsequent ureqthroplasty, if so required