DOI: 10.36347/sjams.2015.v03i08.022

Pages: 2851-2853

We present our short-term result of abdomino-perinealurethroplasty(APU) for complex posterior urethral disruption. This is a retro-prospective study conducted at Omdurman Military Hospital during the period from Jan. 2012 to Feb. 2015. It includes all male patients underwent (APU). Follow up consisted of clinical and radiological assessment. The mean age of the patients was 35.4 ± 16. 7 years. Pelvic fractures were seen in 20(44.4%). Twenty five(55.5%) of patients had underwent at least 1 prior procedure for stricture management,13(28.9%) patients had underwent previous perinealurethroplasty. In 11(24.4%) of our patients, the disease recurred and open surgical revision was required in 5(11.1%), and the other 6(13.3%) were managed by visual internal urethrotomy. In none of the other patients was a secondary procedure required. Thus, the primary success rate was 75.6% and the overall success rate was 88.9%. Incontinence was seen in 6 out of 45 patients (13.3%) of which 2 improved within 6 months of surgery with perineal exercises and the other 4(8.9%) remained incontinent. Abdomino-perinealurethroplasty is a safe procedure in traumatic complex posterior urethral disruption in children and adults. It allows wide exposure to create tension-free urethral anastomosis without significantly affecting urine stream or continence.