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Abstract Traumatic lesions of the prostatomembranous urethra occur in approximately 10% of patients with pelvic fracture injuries, and the resulting incontinence, impotence, and urethral stricture remain a source of lifelong misery in many patients. Turner-warwick described the problem accurately by stat ” it is the urologist who will have to share the burden of the ultimate disability with patient when the thoracic and abdominal, and even the orthopedic aspects are probably long forgotten ”( turner-warwick, 977)” > expect for endoscopic techniques, such as direct vision urethrotomy, various types of 1 or 2 stage urethroplasties are currently used to repair posterior urethral strictures. The one stage reconstructions include direct end to end anastomosis following stricture excision, island flaps obtained from the shaft of the penis, foreskin or scrotum on a vascular pedicle (orandi, 1972; blandy andsingh, 1975)and free full thickness skin graft. The 2-stage procedures include the different types of perineoscrotal inlay procedures and mesh graft urethroplasty. |