Posterior urethroplasty for pelvic fracture urethral injuries: risk factors for recurrence and complications.

ABSTRACT:

Purpose

Surgical reconstruction for posterior urethral injuries associated with pelvic fractures (PFUI) is complex. Perineal posterior urethroplasty via excision and primary anastomosis (EPA) is the standard treatment. This study evaluates risk factors for stenosis recurrence after primary EPA and analyzes predictors of postoperative complications.

Methods

A retrospective analysis was conducted on male patients who underwent primary posterior EPA for PFUI at Ghent University Hospital (2001-2024). The primary outcome was stenosis recurrence at 1-, 2-, and 10-year follow-up, defined as urethral narrowing causing obstructive symptoms and requiring intervention. Demographic data, prior urethral manipulation, surgical techniques, 90-day complications (Clavien-Dindo), and function

SUBMITTER: Plamadeala N 

PROVIDER: S-EPMC12316716 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature