Korean J Urol.  1984 Dec;25(6):729-734.

Partial Pubectomy for Urethroplasty

• Seo NG
• Kim BW

Abstract

Stricture of the prostatomembranous urethra following pelvic fractures presents major problems in surgical management owing to their relatively inaccessible position above the urogenital diaphragm and behind the pubis. In 1973 Waterhouse and associates described transpubic approach to posterior urethral stricture, which has been usefully modified by Blandy as partial pubectomy for urethroplasty. Blandy`s method gives the extra room which needed to effect a tension-free anastomosis between bulbar and prostatic urethra and which was easily provided by taking away an arch of bone from the inferior of the symphysis. This method leaves pelvic ring intact, so avoids (a) subsequent pelvic instability and (b) the deformity that may result if an entire segment of symphysis is taken out and the penis falls into the defect. Our experience with 8 such cases has convinced us of the superiority of partial pubectomy for urethroplasty.

Keyword

pubectomy; urethroplasty

MeSH Terms

Congenital Abnormalities
Constriction, Pathologic
Diaphragm
Male
Penis
Urethra
Urethral Stricture