Clinical Study

Comparison between Two Different Two-Stage Transperineal Approaches to Treat Urethral Strictures or Bladder Neck Contracture Associated with Severe Urinary Incontinence that Occurred after Pelvic Surgery: Report of Our Experience

Figure 2

(a) Placing of 2 0-0 sutures at the proximal edge of the anterior urethra. They pass into the Nelaton supra-pubical catheter. (b) The proximal edge of the urethra is pulled through the pelvic floor and placed inside the Bladder. Polygalactinin 3–0 sutures are then placed in the proximal segment of the urethra between the para-urethral fascia and the vesico-urethral anastomosis. Afterwards the sutures exiting the Amplatz catheter are cut (A) and pulled out (B) of the bladder.
481943.fig.002a
(a)
481943.fig.002b
(b)