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Anatomy and techniques in posterior urethroplasty
Reynaldo G Gomez1,2, Kyle Scarberry3
1Department of Urology Service, Hospital del Trabajador, Santiago, Chile.
Translational Andrology and Urology
|September 14, 2018
Summary
Surgical repair of posterior urethral injuries, including stenosis, can be highly successful with proper planning. This review covers perineal approaches for urethral reconstruction, addressing trauma and post-prostatectomy complications.
Area of Science:
- Urology
- Surgical Reconstruction
- Genitourinary Tract Anatomy
Background:
- Posterior urethral injuries present complex reconstructive challenges due to intricate anatomy.
- Successful surgical outcomes depend on meticulous operative planning and surgical expertise.
Purpose of the Study:
- To review applicable surgical techniques for the perineal approach to posterior urethral stenosis.
- To discuss advanced reconstructive methods for specific urethral injuries.
Main Methods:
- Review of surgical techniques for posterior urethral stenosis via perineal approach.
- Discussion of bulbomembranous anastomosis for pelvic fracture urethral injury.
- Analysis of vesicourethral anastomotic stenosis (VUAS) repair post-prostatectomy.
Main Results:
- Perineal approaches, including bulbomembranous anastomosis, are effective for urethral reconstruction.
- Advanced techniques like bulbar artery sparing urethroplasty and intrasphincteric urethroplasty offer improved outcomes.
- Intrasphincteric urethroplasty may preserve continence in membranous urethral stenosis.
Conclusions:
- Surgical repair of posterior urethral injuries is achievable with appropriate techniques and planning.
- Advanced reconstructive strategies enhance functional recovery and potentially preserve continence.
- This review provides insights into managing complex posterior urethral strictures.
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