Abstract
The current standard of care for posterior urethral distraction defects is delayed open reconstruction with excision and primary reanastomosis using a perineal approach. Contemporary articles and abstracts published and presented by urologists who specialize in urethral reconstructive surgery report minimal blood loss and a success rate of greater than 95%. Success is defined as durable wide patency of the repair without the need for dilation, urethrotomy, or catheterization. Follow-up studies obtained to confirm a successful technical outcome are retrograde urethrography or urethroscopy no sooner than 3 to 4 months after surgery, in addition to subsequent long-term follow-up.
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