IMMEDIATE PRIMARY REALIGNMENT OF PROSTATOMEMBRANOUS URETHRAL DISRUPTIONS USING ENDOUROLOGICAL TECHNIQUES

Objectives. A new technique is described for primary realignment of pr ostatomembranous urethral disruptions using endourologic techniques. M ethods, Realignment was achieved in 3 patients on the day of injury. P rimary urethral realignment is achieved by passing a council-tip cathe ter over a guidewire inserted during antegrade flexible cystourethrosc opy. Results. Three patients underwent successful realignment on the d ay of injury. With an average follow-up of 6 months, 2 patients are vo iding spontaneously without evidence of a urethral stricture; 1 patien t developed a stricture necessitating delayed urethroplasty. All patie nts have retained their potency and continence. Conclusions. Our techn ique provides an expeditious, simple, and atraumatic means of obtainin g primary realignment of acute prostatomembranous urethral disruptions . (C) 1997, Elsevier Science Inc.