BULBO-BULBAR AND BULBO-PROSTATIC ANASTOMO SIS OF THE URETHRA

Strictures of the bulbous and membranous urethra up to 2.5 cm in lengh t and after visual urethrotomy should be managed with an one-stage per ineal anastomotic repair. With description of the surgical techniques the results of 41 patients, treated between 1977 and 1996, are present ed. 28 patients had bulbomembraneous strictures as result from urethra l disruption at the time of pelvic fracture. In 13 cases with bulbar s trictures, 11 had been caused iatrogenously and 2 by infection. A succ essful outcome was achieved in over 90 % (37 patients), equivalent to a maximum uroflow over 15 ml/s, an empty bladder after voiding and a r adiographic wide anastomosis. Only 4 patients (9,8 %) after surgery re quired an urethrotomy; two of them are dilated frequently.