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Posterior Urethral Strictures

  • A. R. MundyEmail author
  • Daniela E. Andrich
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

Posterior urethral strictures are not common, and in the context of this chapter, they are not really strictures—they are best called pelvic fracture-related urethral injuries. They are generally repaired transperineally with very satisfactory results, but some injuries can be technically very challenging and the consequences of inadequate or inexpert surgery of even straightforward cases can be devastating. This is not an area for amateurs.

Keywords

Bladder Neck Prostatic Urethra Suprapubic Catheter Urethral Injury Pelvic Ring Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Andrich DE, Day AC, Mundy AR. Proposed mechanisms of lower urinary tract injury in fractures of the pelvic ring. BJU Int. 2007;100:567–73.PubMedCrossRefGoogle Scholar
  2. 2.
    Chapple CR. Urethral injury. BJU Int. 2000;86:318–26.PubMedCrossRefGoogle Scholar
  3. 3.
    Jordan GH, Secrest CL. Arteriography in select patients with posterior urethral distraction injuries (abstract). J Urol. 1992;147:289A.Google Scholar
  4. 4.
    Marion G, Pérard J. Technique des operations plastiques sue la vessie et surl’urètre. Paris: Masson et Cie; 1942. p. 113–22, 158–83.Google Scholar
  5. 5.
    Mundy AR. Reconstruction of posterior urethral distraction defects. Atlas Urol Clin North Am. 1997;5:139–74.Google Scholar
  6. 6.
    Mundy AR. Anastomotic urethroplasty. BJU Int. 2005;96:921–44.PubMedCrossRefGoogle Scholar
  7. 7.
    Kizer WS, Armenakas NA, Brandes SB, Cavalcanti AG, Santucci RA, Morey AF. Simplified reconstruction of posterior urethral disruption defects: limited role of supracrural rerouting. J Urol. 2007;177:1378–81.PubMedCrossRefGoogle Scholar
  8. 8.
    Turner-Warwick R. Urethral stricture surgery. In: Mundy AR, editor. Current operative surgery. London: BalliereTindall; 1988. p. 160–218.Google Scholar
  9. 9.
    Waterhouse K, Abrahams JI, Gruber H, et al. The transpubic approach to the lower urinary tract. J Urol. 1973;109:486–90.PubMedGoogle Scholar
  10. 10.
    Webster GD, Ramon J. Repair of pelvic fracture posterior urethral defects using an elaborated perineal approach: experience with 74 cases. J Urol. 1991;145:744–8.PubMedGoogle Scholar
  11. 11.
    Kizer WS, Armenakas NA, Brandes SB, Cavalcanti AG, Santucci RA, Morey AF. Simplified reconstruction of posterior urethral disruption defects: limited role of supracrural rerouting. J Urol. 2007;177:1378–81.Google Scholar
  12. 12.
    Mundy AR. Urethroplasty for posterior urethral strictures. Br J Urol. 1996;78:243–7.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Institute of UrologyUniversity College London HospitalLondonUK

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