Long-Term Results with Transpubic Urethroplasty

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Abstract
From 1973-1982, 44 patients underwent transpubic urethroplasty for traumatic prostatomembranous strictures and were followed for 1-10 yr. The most frequent late sequelae were permanent erectile dysfunction (22 patients) and progressive erectile dysfunction (4 patients). Of the 44 patients 6 (14%) had significant primary urinary incontinence that necessitated placement of a genitourinary sphincter and 2 (4.5%) had incontinence after secondary transurethral procedures because of involvement of the remaining voluntary sphincter mechanism. Prosthetic devices may be useful in correcting erectile dysfunction and urinary incontinence in this difficult patient population. Of 13 patients with post-urethroplasty strictures 10 required dilation.

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