[The rehabilitation of patients with urethral injuries and their sequelae]

The treatment was conducted for 154 patients aged 3-69 with traumatic rupture of the urethra. Eighteen patients underwent primary suturing, five patients primary delayed repair of the urethra. Urethral patency was achieved in all the cases. In 127 cases urethral rupture was associated with visceral and skeletal injuries managed by epicystostomy with good results. 16 patients without extended diastasis of the urethral fragments got circular tubes. 24 patients out of 111 developed restenosis (7 due to urethrotomy and 17 after tunneling). Later on 14 of these and the rest 87 patients were subjected to plastic reconstruction. Out of 101 patients operated on 3 needed bougienage, 1 patients retained urethrorectal fistula. 8 patients had postoperative dynamic urethral obstruction removed upon augmentation of detrusor tonicity by means of intravenous administration of calcium chloride and strofantina. Copulative dysfunction occurred in 70% of the patients over 22 years of age. Extracavernous prosthetic implantations performed in 33 of them corrected erectile impotence [correction of importance].