Disruptions of the anterior urethra.

Disruptions of the anterior urethra are caused by blunt trauma such as the straddle injury and also by penetrating trauma such as a gunshot or ice pick. Sometimes, self-inflicted or iatrogenic disruptions can be brought about by intraluminal manipulations. In those cases in which a urethroplasty is later required, one has to tailor the operation to fit the situation. As with reconstructive procedures elsewhere in the body, one has to have a bag full of tricks and use the proper procedure or combination of procedures in solving the problem.