Document Detail

A modified perineal approach to reconstruction of membranous urethra for stricture.
MedLine Citation:
PMID:  3280832     Owner:  NLM     Status:  MEDLINE    
Difficulty in obtaining perineal exposure of the membranous urethra in cases of traumatic stricture led to the development of the combined perineosuprapubic and transpubic approaches. Use of the standard perineal incision for perineal prostatectomy with division of the urogenital diaphragm in the midline from behind up to and encircling the urethra, and temporary suturing of the flaps of the urogenital diaphragm that are created to the lateral edges of the skin incision provides good exposure of the membranous and proximal bulbous urethra, thus, making reconstruction easier. This approach should minimize the need for the transpubic or perineosuprapubic approaches. It has been used for urethroplasty in 12 patients with traumatic membranous strictures, 5 with traumatic bulbomembranous strictures, 7 with post-gonococcal strictures involving the proximal bulbous and distal membranous urethra, and 1 with a bulbomembranous urethral rupture.
J K Quartey
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  139     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-04-29     Completed Date:  1988-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  780-3     Citation Subset:  AIM; IM    
Department of Surgery, University of Ghana Medical School, Accra.
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MeSH Terms
Suture Techniques
Urethra / surgery*
Urethral Stricture / surgery*

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