this is not available it may be necessary to do a suprapubic cystostomy through a short vertical stab incision just above the pubic symphysis (Mundy, 1997).
In complex injuries, an abdomino-perineal approach may be necessary, in which case the whole abdomen will need to be prepared for a long anterior midline incision. Some experts prefer to use the exaggerated lithotomy position to give access to the perineum (Mundy, 1997).
V.c. Principles:
The general principles of anastomotic urethroplasty are to define the healthy urethra above and below the site of the injury and the surrounding fibrosis, then to perform a spatulated end-to-end tension free anastomosis to reduce the risk of recurrence. Tension is relieved by a full mobilization of
In complex injuries, an abdomino-perineal approach may be necessary, in which case the whole abdomen will need to be prepared for a long anterior midline incision. Some experts prefer to use the exaggerated lithotomy position to give access to the perineum (Mundy, 1997).
V.c. Principles:
The general principles of anastomotic urethroplasty are to define the healthy urethra above and below the site of the injury and the surrounding fibrosis, then to perform a spatulated end-to-end tension free anastomosis to reduce the risk of recurrence. Tension is relieved by a full mobilization of