Perineal transpubic repair: a technique for treating post-traumatic prostatomembranous urethral strictures

A perineal, 1-stage, end-to-end anastomotic repair is the preferred method to treat short (2 cm. or less) prostatomembranous urethral strictures. For longer strictures a combined perineal and abdominal transpubic approach is required. We describe a technique that has allowed a 1-stage perineal repair of such strictures, up to 5 cm. long, by wedge excision of the inferior portion of the pubis. This technique has been used in 4 patients with prostatomembranous strictures 2 to 5 cm. long. The results were uniformly good in all of these patients.