ANTERIOR URETHRAL TRAUMA - ABOUT 18 CASES

The authors report a retrospective series of 18 cases of rupture of th e anterior urethra, with a mean age of 25 years (range: 10 to 45 years ). The mechanism of the lesion was trauma by falling onto the perineum (12 cases), road accident (4 cases) and sexual intercourse (2 cases). Urine drainage was ensured by suprapubic catheter (15 cases) or ureth ral catheter (1 case). The two cases of rupture of the urethra associa ted with lesions of the corpora cavernosa required urgent surgical rep air. In the other cases,simple wine drainage was sufficient to treat p artial ruptures of the urethra (11 cases) with only one case of urethr al stricture. However, end-to-end urethrorraphy was performed in the 4 patients with total rupture of the urethra, with early failure in 3 c ases, attributed to delayed surgery. Finally, the course of urethral r upture associated with rupture of the corpora cavernosa was favourable in terms of both micturition and sexual function.