[Intubation in reconstructive surgery of posterior urethral strictures]

The authors operated in recent years (1989-1993) three patients with iatrogenic strictures of the posterior urethra which developed after transvesical prostatectomy. In one instance a stricture was involved which was difficult to intubate and in two instances a stricture impossible to intubate which was treated temporarily by epicystostomy. With regard to the site of the stricture which affected partly the prostatic and membranous urethra the authors selected the method of intubation plastic surgery in the modification of Michalowski-Modelski, nowadays rarely mentioned in the literature. During a period of one to two years after operation the patients were able to urinate without difficulties, the urethra was patent for intubation, in one patient mild stress incontinence persists. The authors consider intubation plastic surgery, making use of the intact urethra as a suitable alternative method of treatment of short strictures in the prostatic and membranous part of the urethra. It is a relatively simple one-stage operation with satisfactory functional results.