[Treatment of 101 patients with traumatic urethral strictures by the method of V. Rusakov]

Urethral strictures after the pelvic bone and perineum injury are a common cause of disability in such patients. Outcomes of several methods of surgical treatment are unsatisfactory in unacceptably high percentage of the cases. This disease seems thus to be one of the most threatening problems in urological practice. Since 1978 to 2000, 101 patients with urethral traumatic strictures were treated by the method of anastomotic urethroplasty proposed by V. Rusakov, at the Urology Department of Vilnius University Hospital. Overviewed are the classification of urethral strictures by their etiology, clinical course, degree of narrowing of the urethra, localization, length and multiplicity as well as the complications. Pre-operation work-up, instruments, operation technique and post-operative care are discussed, too.