[The treatment of closed injuries and posttraumatic strictures of the urethra]

Immediate and long-term results of treatment were evaluated for 211 males who had pelvic and urethral injuries. Most common were the methods: primary epicystostomy followed by urethroplasty, healing on a permanent catheter from the bladder, the primary suture. The material of 12 autopsies was investigated to characterize morphohistological features of pelvic and urethral traumas with consequent pathomorphological substantiation of the ways to recover urethral patency. It is revealed that urethral injuries especially in hip bone fractures should be considered as severe. An individual surgical approach in the condition is to allow for its severity, presence of combined injuries, diagnostic evidence on urethral involvement.