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Related Experiment Video

Updated: Apr 27, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Transpubic urethroplasty: a single center experience.

Raj Kumar Mathur1, Niraj Shriram Tiwari1, Sudharshan A Odiya1

  • 1Department of Surgery, MGM Medical College & MY Hospital, Indore 452001, India.

Advances in Urology
|July 11, 2014
PubMed
Summary

Transpubic urethroplasty offers excellent long-term results for complex urethral strictures caused by pelvic fractures. This procedure, despite being less common, remains a viable option with a high success rate and manageable complications.

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Area of Science:

  • Urology
  • Surgical Reconstruction
  • Trauma Surgery

Background:

  • Pelvic fracture urethral distraction defects (PFUDDs) present complex reconstructive challenges.
  • Transpubic urethroplasty has been utilized for these injuries, but long-term outcomes require evaluation.

Purpose of the Study:

  • To assess the long-term efficacy and complications of transpubic urethroplasty for PFUDDs.
  • To determine the overall success rate and functional outcomes following this surgical approach.

Main Methods:

  • Retrospective and prospective analysis of 16 patients undergoing transpubic urethroplasty for posttraumatic urethral disruptions (2007-2013).
  • Follow-up included clinical history, uroflowmetry, retrograde urethrography, and voiding cystourethrography over a mean of 24 months.

Main Results:

  • Transpubic urethroplasty achieved initial success in 14 of 16 patients (87.5%).
  • Complications included stricture recurrence (12.5%), fistula (12.5%), incontinence (31.25%), impotence (25%), and infection (18.75%).
  • Final success rate reached 100% after secondary interventions for failed repairs. Two patients had permanent incontinence, and four experienced impotence.

Conclusions:

  • Transpubic urethroplasty is a viable surgical option for complex posterior urethral disruptions, yielding excellent long-term results.
  • The procedure demonstrates minimal morbidity related to pubectomy, despite potential complications like incontinence and impotence.