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Organo Oficial de la Sociedad Mexicana de Urología

2006, Number 4

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Rev Mex Urol 2006; 66 (4)

Posterior urethra stricture treatment with modified posterior sagital approach

Soria FG, Medina CJ, Jiménez Bobadilla B, Luna PM

Language: Spanish
References: 15
Page: 157-161
PDF size: 222.74 Kb.


ABSTRACT

Objectives. To evaluate the usefulness of the modi-fied posterior sagital approach in the urethra surgery, as a treatment for complete stricture of posterior urethra.
Materials and methods. From March 2004 to April 2006, 8 patients between 21 to 47 years old, diagnosed with posterior urethra stricture of traumatic cause. All the people were treated by this approach. Previous this treatment, all the patients went through urethrogram and a cistoscopy study.
Results. All patients who went through this procedure were male, who exhibited from 2 to 5 cm of complete posterior urethra stricture. In all cases anastomoses were performed. In 87.5% of the cases the outcomes were favorable with an adequate urinary stream and along a year there were no other procedure. There was not urinary incontinence or erectile dysfunction. One patient showed dehiscence of the surgical wound due to infection.
Conclusions. This approach is a good option for extensive urethral stricture. It is effective, easily reproducible, with an adequate exposure of the proximal portion of the urethra, allowing a minimal hemorrhage, adequate anastomosis and lack of resort to stricture.


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