The surgical approach to posterior urethral lesions has been gready modified during the last few years. The perineal approach is today generally preferred to the transpubic one and a new “enlarged” perineal retropubic method has been developed. Personal experience in the treatment of 12 patients with complex urethral lesions of iatrogenic and traumatic origin is reported. The operations were performed by means of a simple perineal approach in 4 cases; an enlarged perineal approach in 4; a combined transpubic-perineal in 2 and retropubic-perineal in the remaining 2. The reasons for the different choices are discussed and the surgical details are described for the operations employed.
BarbagliG., AzzaroF., RizzoM.: La Malattia Uretrale Stenosante: inquadramento etiopatogenetico, clinico, radiologico e terapeutico. Editoriale. Acta Urol. Ital. 1: 1–24, 1991.
2.
BarbagliG., AzzaroF., NataliA.: Il trattamento chirurgico delle lesioni complesse dell'uretra posteriore maschile. Acta Urol. Ital.1933: (in corso di stampa).
3.
BarbagliG., AzzaroF., CostantiniA.: Indicazioni e procedimenti particolari nella chirurgia dell'uretra posteriore. Atti Giornate Medico-Chirurgiche Internazionali. Torino, 8-14 dicembre 1991, Minerva Medica 511–519, 1991.
