Long-term results with transpubic urethroplasty

From 1973 to 1982, 44 patients underwent transpubic urethroplasty for traumatic prostatomembranous strictures and were followed for 1 to 10 years. The most frequent late sequelae were permanent erectile dysfunction (22 patients) and progressive erectile dysfunction (4 patients). Of the 44 patients 6...

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Bibliographic Details
Published inThe Journal of urology Vol. 133; no. 4; p. 605
Main Authors Zincke, H, Furlow, W L
Format Journal Article
LanguageEnglish
Published United States 01.04.1985
Subjects
Adult
Aged
Child, Preschool
Dilatation
Erectile Dysfunction - etiology
Follow-Up Studies
Humans
Male
Methods
Middle Aged
Postoperative Complications - etiology
Prostheses and Implants
Time Factors
Urethra - injuries
Urethral Stricture - etiology
Urethral Stricture - surgery
Urinary Incontinence - etiology
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Summary:From 1973 to 1982, 44 patients underwent transpubic urethroplasty for traumatic prostatomembranous strictures and were followed for 1 to 10 years. The most frequent late sequelae were permanent erectile dysfunction (22 patients) and progressive erectile dysfunction (4 patients). Of the 44 patients 6 (14 per cent) had significant primary urinary incontinence that necessitated placement of a genitourinary sphincter and 2 (4.5 per cent) had incontinence after secondary transurethral procedures because of involvement of the remaining voluntary sphincter mechanism. Prosthetic devices may be useful in correcting erectile dysfunction and urinary incontinence in this difficult patient population. Of 13 patients with post-urethroplasty strictures 10 required dilation.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)49107-5