Cystoscopy- assisted delayed urethroplasty for complete posterior urethral disruption following pelvic fracture

ABSTRACT

Herein, we present our results in managing complete posterior urethral tear associated pelvic fracture. We treated 12 young male patients subjected to road traffic accident. Patients' average age was 23.5 years. All patients were treated by initial insertion of suprapubic cystocatheter followed by dejayed transperineal anastomotic urethroplasty. The technique was assisted by suprapubic cystoscopy. Follow up was done for an average duration of 18.2 months with assessment of continenbe status, sexual potency and voiding pattern. Three out of 12 cases [25%], developed anastomotic stricture treated by internal urethrotomy. Decreased erectile quality affected 2 cases [17%], while one patient [8.4%], reported nocturnal enuresis. These results compare favorably with many other series. So, we can conclude that, in our hand, delayed perineal anastomotic urethroplasty is an optimal choice for such cases. In addition, the use of suprapubic cystoscopy helps in assessment of bladder neck and bladder, as well as, it helps in surgical manipulation of proximal part of the urethra