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A pull-through operation for the treatment of lesions of the posterior and bulbar urethra

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Abstract

Authors describe a pull-through operation for treatment of lesion of the posterior and bulbar urethra. Membranous and bulbomembranous stricture, recent rupture of posterior urethra and rectourethral fistula were approched by this surgical procedure.

Modifications are introduced on this technique and for the first time it was used for the treatment of early lesions of the posterior urethra. Some conclusions may be drawn.

  1. 1.

    The pull-through operation provided good functional results in 76.6% of the cases, irrespective of the etiology.

  2. 2.

    Urethral caliber became normal in 86.66% of the cases; a comparison of the 3 groups showed that the etiology did not influence the results.

  3. 3.

    An evaluation of the results showed that the urinary infection was independent of the etiology.

  4. 4.

    An excretory urography of the upper urinary tract was normal in 77.27% of the cases irrespective of the etiology.

  5. 5.

    The middle and lower urinary tract were normal in 42.85% of the cases.

  6. 6.

    The greater the number of surgical interventions, previous to the pullthrough operation, the higher the incidence of poor results, as judged by urethrccystography.

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Authors and Affiliations

  1. Department of Urology of the University of Sao Paulo Medical School, Hospital das Clinicas, Sao Paulo, Brazil

    R. Netto Jr., G. M. Goes & J. G. Campos Freire

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  1. R. Netto Jr.
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  2. G. M. Goes
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  3. J. G. Campos Freire
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Netto, R., Goes, G.M. & Freire, J.G.C. A pull-through operation for the treatment of lesions of the posterior and bulbar urethra. International Urology and Nephrology 5, 383–391 (1973). https://doi.org/10.1007/BF02083386

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  • DOI: https://doi.org/10.1007/BF02083386

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