Abdomino-perineal approach for management of traumatic strictured posterior urethra.

Twelve patients with traumatic posterior urethral stricture have been treated using a combined transpubic-transperineal approach. The strictured segments were long and associated with complicated problems in 4 patients. Three of them have had bulbo-vesical anastomosis operation, and iatrogenic urethro-rectal fistula was encountered in the fourth patient. Combined approach provided the best chance for success. Our results of urethral lumen patency and continence of urine were excellent. However, we encountered 7 patients dissatisfied with their erection.