Repair of posttraumatic stenosis of the urethra through a posterior sagittal approach.

The authors present a report of four cases of children with posttraumatic posterior urethral stenosis who were surgically corrected through a posterior sagittal approach, with resection of the stenotic area and end-to-end anastomosis. In all cases whole colonic irrigation was used to prepare the bowel for surgery without the use of colostomy. The results were good in all cases and there were no complications. The anatomic bases of the surgical approach as well as the technical details of the procedure are analyzed, and the advantages are compared with other techniques used for the same purpose.