The Transpubic Repair of Membranous Urethral Strictures

Bulboprostatic anastomotic urethroplasty with preservation of potency: Anatomical study, operative approach and clinical results

“…The incidence of impotence after anastomotic bulboprostatic urethroplasty varies: Waterhouse [14] reported an incidence of 25%, Khan [13] an incidence of 45.4% and Malloy [3] an incidence of 53.3%. In the present study, 22 patients were operated upon; at 6-year follow-up (range 1 Á/10 years) the incidence of impotence was 4.55% (1/22 patients).…”

“…He claimed that the transpubic approach does not affect potency except when the length of stricture necessitates extensive perineal dissection. Waterhouse [14] reported an incidence of impotence after transpubic urethroplasty of 25% in 40 cases, while Malloy [3] reported an incidence of impotence of 53.3% in 15 cases.…”

Urethrorectal Fistulas Complicated by Posterior Urethral Stricture: An Appraisal of Management by Transpubic Approach

“…Two patients had bladder stones. A simultaneous abdominoperineal ex posure was undertaken in all cases for the transpubic repair of the stricture segment of the urethra [7], closure of urethrorectal fistula or fistulas and an omental interposition. The operation is best performed with the patient in a supine position with the hips moderately abducted and flexed and the legs secured on spreader All patients suffered pelvic fracture.…”

“…Numerous approaches have been advo cated for the repair of urethrorectal fistulas, but no spe cific method for this particular problem has been men tioned in the literature. We evaluated the method of simultaneous abdominoperineal exposure for a trans pubic urethroplasty [7], for closure of urethrorectal fistu las under vision and for a pedicled omental interposition [8,9], This approach gives a legitimate alternative solu tion for such a compound problem.…”

Symphysiotomy or Transpubic Approach to Traumatic Strictures of the Posterior Urethra

“…Radge and Maclnnes (1969) successfully performed transpubic repair of recent traumatic rupture of the membraneous urethra (8 patients) from 1 h to 2 days after the accident, separating the pubic bones 8~ 10 cm without orthopaedic troubles. Waterhouse et al (1973Waterhouse et al ( , 1974 have used the transpubic raute for repair of membraneous urethral strictures, total prostatectomy and total cystectomy and urethrectomy. They performed a pubectomy without separation and made no attempt to bring the pubes together at the end of the operation.…”