Management of Post Traumatic Posterior Urethral Sticture

Abstract

The management of post traumatic posterior urethral sticture is one of the most difficult surgical problem faced by urologist. It is an uncommon injury at an inaccessible location. We present our data of 22 patients. Who had one stage perineal urethroplasty and were followed for more then one year. We compare the results of initial suprapeubic catheterization at the time of injury and delayed urethroplasty, with patients, who had initial realignment procedure with railroading and presented to us with recurrent stricture formation. The result of primary catherization and delayed urethroplasty is very satisfactory, it is associated with less chances of impotency and incontinence. Subsequent stricture if formed, is usually short and can easily be managed by daty case opticle urethrotomy. Post traumatic posterior urethral stricture should have supraputic catherization before definitive surgery.