Pubectomy in repair of membranous urethral stricture.

The use of pubectomy in the repair of urethral strictures has not been favored because of the supposed excessive blood loss and operative time and long-term pain. However, in our experience with 30 patients with traumatic urethral rupture, we have found that pubectomy provides excellent exposure with a mean blood loss of 800 ml and few postoperative problems. The technique should nonetheless be reserved for selected patients and performed only by experienced surgeons.