Reconstruction of the urethra by a tube from a bladder flap during radical retropubic prostatectomy

Extirpation of a carcinoma-bearing prostate with requisite radicality is occasionally beset by problems with the reconstruction. On the basis of 56 cases, we have found it possible to use a tube from a bladder flap for the reconstruction of the urethra. When cases of neurogenic disorders and thin bladder musculature are excluded before the operation, one can expect normal urodynamic findings postoperatively and a good prognosis.