Immediate primary realignment of prostatomembranous urethral disruptions using endourologic techniques

Abstract

Objectives. A new technique is described for primary realignment of prostatomembranous urethral disruptions using endourologic techniques. Methods. Realignment was achieved in 3 patients on the day of injury. Primary urethral realignment is achieved by passing a council-tip catheter over a guidewire inserted during antegrade flexible cystourethroscopy. Results. Three patients underwent successful realignment on the day of injury. With an average follow-up of 6 months, 2 patients are voiding spontaneously without evidence of a urethral stricture; 1 patient developed a stricture necessitating delayed urethroplasty. All patients have retained their potency and continence. Conclusions. Our technique provides an expeditious, simple, and atraumatic means of obtaining primary realignment of acute prostatomembranous urethral disruptions.