[The transpubic surgical approach and experience with using it to treat posttraumatic strictures of the posterior...

Anatomic researches on 15 cadavers of male adults were conducted to study the transpubic access to the urethra and substantiate its possible application for the treatment of the urethral strictures. The authors make a comparative evaluation of transpubic and perineal methods of the access. As for basic indices (the depth of operative wound, direction and the angle of the operative axis inclination), the transpubic method of access has a number of advantages over the perineal access, and is an optimal one for surgical interference on the urethra. The transpubic access was applied on 21 patients who were operated for strictures or obliterations of the urethra. In all the patients the transitivity of the urethra was restored. No complications were marked.