Management of traumatic posterior urethral stricture by one stage perineal repair.

Ten male patients with posterior urethral strictures secondary to trauma of the pelvis were treated with a one stage perineal repair, consisting of excision of the strictured segment and direct anastomosis between the bulbous urethra and the apex of the prostate. Repair was performed after an interval from trauma ranging from three months to 22 years. The mean followup time was 22 months. Excellent results were observed in eight patients, diffuse distal urethral narrowing in one patient and recurrent stenosis requiring further repair in another patient. Continence and potency were unaffected. This technique is applicable to the majority of posttraumatic posterior urethral strictures, less than 2 centimeters in length, and does not preclude further repair.