Editorial Comment

Abstract

In 1950, Badenoch 1 Badenoch A.W. A pull-through operation for impassable traumatic stricture of the urethra. Br J Urol. 1950; 22: 404-409 Crossref PubMed Scopus (77) Google Scholar described his pull-through operation for “impassable traumatic stricture of the urethra.” The Badenoch operation is not an operation that I have any experience with, nor have I ever felt the need to become facile with that technique. However, with that said, I am constantly amazed at the number of places that I have been, where surgeons do practice the Badenoch procedure and find it to be most useful for the reconstruction of pelvic fracture urethral distraction defects. The authors describe a series of 76 patients. They discuss excellent results and have good follow-up criteria. Using the operation for patients with complex conditions, as well as those with failed urethroplasty and those with failed urethrotomy, they report an overall success rate of 89%. Although this is slightly less than that from contemporary series using primary anastomotic techniques, it is not far below those success rates. They have a very acceptable rate of erectile dysfunction after urethral reconstruction, and they do not report any patients who complained of penile shortening or new onset of curvature. Although I have not seen the need to learn how to do this operation, it certainly would appear that it could represent an alternative method of dealing with pelvic fracture urethral injury. Urethral Pull-through Operation for the Management of Pelvic Fracture Urethral Distraction DefectsUrologyVol. 78Issue 4PreviewTo present our institutional experience in the management of pelvic fracture urethral distraction defects with urethral pull-through operation. Full-Text PDF ReplyUrologyVol. 78Issue 4PreviewThe management of pelvic fracture urethral distraction defect (PFUDD) is a difficult problem in urology. At present, it is widely accepted that the optimal procedure for the management of PFUDD is urethral anastomosis after excision of the intervening scarred segment through the perineum.1 A tension-free anastomosis is essential for a successful repair; however, in some cases, it is difficult to distinctly expose the proximal urethral stump because of its deep location after the excision of the stricture segment. Full-Text PDF