Entero-Urethroplasty for Bulbar Urethral Necrosis

Area of Science:

• Urology
• Surgical Innovation
• Reconstructive Surgery

Background:

• Ischemic necrosis of the bulbar urethra can result in complex, long-segment strictures.
• Traditional treatments like vascular reconstruction and transpubic urethroplasty have limitations.

Observation:

• A 20-year-old male patient sustained a posterior urethral injury from a road traffic accident.
• An initial anastomotic urethroplasty performed 10 months post-injury failed.

Findings:

• Ascending colon substitution urethroplasty was successfully employed to manage ischemic bulbar necrosis.
• This approach provided an alternative to conventional tubed flap or staged grafting procedures.

Implications:

• This case demonstrates the potential of organ substitution urethroplasty for complex urethral strictures.
• It highlights a promising alternative for reconstructive surgery in challenging urethral injury cases.