Transpubic urethroplasty for complex posterior urethral strictures: a single center experience

Area of Science:

• Urology
• Surgical Reconstruction
• Trauma Surgery

Background:

• Complex posterior urethral strictures often result from traumatic injuries.
• Previous interventions may not fully resolve these challenging conditions.
• Transpubic urethroplasty is a reconstructive option for severe urethral damage.

Purpose of the Study:

• To evaluate the clinical experience and outcomes of transpubic urethroplasty.
• To assess the efficacy of this procedure for complex posterior urethral strictures.
• To analyze patient outcomes following reconstructive surgery for urethral defects.

Main Methods:

• Retrospective review of 19 patients treated with transpubic urethroplasty over six years.
• Patients had complex posterior urethral strictures, predominantly due to trauma.
• Detailed analysis of surgical parameters, complications, and long-term outcomes.

Main Results:

• 84.2% of patients achieved excellent outcomes with no stricture recurrence.
• Mean stricture length was 4.4 cm; mean follow-up was 30 months.
• Complications included wound infection, epididymoorchitis, and fistulas; 1 patient had erectile dysfunction.

Conclusions:

• Transpubic urethroplasty is a highly effective surgical technique for complex posterior urethral strictures.
• The procedure demonstrates a favorable success rate in managing challenging urethral reconstructions.
• This approach offers a viable solution for patients with significant urethral defects.