[The surgical treatment of extended posttraumatic strictures and obliterations of the posterior urethra].

A total of 17 patients aged 18-60 years were operated on for posttraumatic posterior urethral obliterations, 4 to 13 cm in length. The operation consisted in application of a transpubic access and replacement of the extended posterior urethral defect with perineal ones by removing the subpubic curvature and transposing the perineal portion of the urethra ahead of the cavernous bodies of the penis, which allowed the urethra to be relatively stretched. The musculus sartorius on a pedicle was used to cover the urethral anastomosis with well blood-supplied tissues, to create an external sphincter of the urethra and to replace the pubic articulation defect. The procedure of the operation is in detail given in the present paper. Among the complications there was a partial necrosis of the distal end of the musculus sartorius in 3 patients, orthostatic urinary incontinence in 1 and cutaneous edema of the penis nearly in all the patients following the operation. Orthopedic disorders associated with pubic articulation resection and a marked decrease in and deformity of the penis were not observed.