Symphysiotomy or transpubic approach to traumatic strictures of the posterior urethra

The trans-symphyseal or transpubic approach is a useful technique which gives a very good exposure of the prostatic and membraneous urethra. We have used it on seven patients, for repair of post-traumatic strictures of the posterior urethra, complementary to the transperineal route in most difficult cases. This technique has allowed a correct anastomosis between the distal and the prostatic urethra in all these cases. The short-term results are good and no lasting orthopaedic sequelae have been observed.