Clinical Observations on Urethroplasty in Urethral Injury

Park, Yoon Kyu; Chang, Sae Kook

Abstract

Fifty six urethroplasties performed from Jan. 1971 to Dec. 1976 at the Dept. of Urology, Kyung pook National University Hospital were reviewed respectively with particular attention to complications relating injury site to operative procedure. During the period the total number of patients with urethral injury was 71, of whom 56 under went a urethroplasty and the remaining 15 were treated conservatively. Of the 56 patients had urethroplasties 21 had for anterior urethral injury, in whom 13 underwent a primary realignment procedure and eight a perineal end-to-end anastomosis. Urethral stricture developed in seven(61. 5%) of the 13 primary realignment procedures, while in only one of the eight perineal end-to-end anastomoses. No impotence did occur in patients with the anterior urethral injury. Posterior urethroplasty was performed in 32 patients, of whom 30 had a primary realignment procedure and the remaining two a perineal end-to-end anastomosis with suprapubic cystostomy. Urethral stricture was developed in 20, impotence in seven, and fistula in two of the 30 primary realignment procedures. Results from the present study show that the primary realignment procedure is more likely to complicate urethral stricture regardless the site of injury, compared with the perineal end-to-end anastomosis.