Lower partial pubicectomy for postoperative complicated posterior urethral stricture.

Area of Science:

• Urology
• Surgical Techniques
• Trauma Reconstruction

Background:

• Complex posterior urethral strictures often result from trauma, posing significant surgical challenges.
• Previous repair attempts may complicate subsequent reconstructive surgery, necessitating alternative approaches.

Purpose of the Study:

• To evaluate the efficacy and safety of partial inferior pubicectomy in treating complex posterior urethral strictures.
• To report the surgical experience and outcomes in patients undergoing this procedure.

Main Methods:

• Retrospective analysis of 46 patients with post-traumatic posterior urethral stricture undergoing urethroplasty.
• Nine patients (19.57%) underwent partial inferior pubicectomy, including those with failed prior repairs.
• Postoperative assessment included retrograde urethrography and urine flow measurements at multiple intervals.

Main Results:

• All 46 patients achieved successful urethroplasty.
• Partial pubicectomy was performed in 9 patients, including children and adults, with a high incidence of pre-existing erectile dysfunction.
• The procedure demonstrated good outcomes with manageable complications, and no negative impact on pelvic or bladder stability was observed.

Conclusions:

• Partial inferior pubicectomy is a safe and reliable surgical method for complex posterior urethral stricture repair.
• It facilitates surgical field visualization, potentially shortens reconstruction length, and yields positive postoperative results.
• Further investigation in larger patient cohorts is warranted to establish precise indications for partial pubicectomy in complex cases.