The transpubic approach for strictures of the posterior urethra superior to the urogenital diaphragm.

For strictures of the posterior urethra lying superior to the urogenital diaphragm, a transpubic approach with resection of the pubic symphysis has been employed. This has permitted primary excision of the scar with reanastomosis of the urethra, thus correcting the defect in a single operation without the introduction of hair-bearing skin and with preservation of the external urethral sphincter. The results in five cases have been most gratifying.