Korean J Urol.  2002 Oct;43(10):862-865.

Repair of Complicated Posterior Urethral Stricture Using Inferior Pubectomy and Gracilis Muscle Flap

• Gong BG
• Lee YT

Abstract

PURPOSE: To evaluate the usefulness of an inferior pubectomy and a gracilis muscle flap for the reconstruction of a complicated posterior urethral stricture, where urethroplasty had failed, or due to a long urethral defect.
MATERIALS AND METHODS
A total of sixty eight patients with complicated posterior urethral strictures, following a pelvic bone fracture, were managed by a one-stage perineal repair at Pundang CHA hospital between March 1998 and April 2002. End-to-end anastomosis was performed in all cases, with corporeal body separation, or an inferior pubectomy and transposition of the gracilis muscle flap performed in a progressive manner if required.
RESULTS
The success rate of all the cases was 95.6%. Additional procedures made no differences to the incidence of impotence, and the incidences of restricture and incontinence were low.
CONCLUSIONS
Our results shows that an inferior pubectomy and a gracilis muscle flap can be useful methods in the treatment and prevention of incontinence and restricture in most cases of complicated posterior urethral strictures.

Keyword

Complicated posterior urethral stricture; Gracilis muscle flap; Urethroplasty; Inferior pubectomy

MeSH Terms

Erectile Dysfunction
Humans
Incidence
Male
Pelvic Bones
Urethral Stricture*