[Current status of transpubic surgery of the posterior urethra].

The transpubic approach is indicated for repair of complex stenoses of the posterior urethra, fundamental technical points being perineal mobilization of the anterior urethra, dissection of the intercrural septum, symphyseotomy, and direct anterior anastomosis of the two extremities of the urethra. Analysis of results in a personal series of 49 patients operated upon for posterior urethral stenosis showed that good results were obtained in 35 cases (71%), no postoperative endoscopic or surgical procedure being necessary. However, recurrence of the lesion was noted in 6 cases (12%), absolute incontinence following operation in 3 cases (6%), and relative incontinence in 5 cases (10%). Postoperative sexual disorders developed in 11 adults, 8 of these reporting various types of erection difficulties.