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Advances in Urology
Volume 2015, Article ID 628107, 11 pages
http://dx.doi.org/10.1155/2015/628107
Review Article

Posterior Urethral Strictures

University of California, Irvine, 333 City Boulevard West, Suite 1240, Orange, CA 92868, USA

Received 8 October 2015; Accepted 2 November 2015

Academic Editor: Francisco E. Martins

Copyright © 2015 Joel Gelman and Eric S. Wisenbaugh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, but what is not controversial is that when there is the development of a stricture (which is usually obliterative with a distraction defect) after suprapubic tube placement or urethral catheter removal, the standard of care is delayed urethral reconstruction with excision and primary anastomosis. This paper reviews the management of patients who suffer pelvic fracture urethral injuries and the techniques of preoperative urethral imaging and subsequent posterior urethroplasty.