The 70-year-old woman suffered a low-energy trauma and then a lateral compression fracture of the pelvis (AO-61 B2.1.1-fracture) with a transpubic and transsacral instability right.
The 86-year-old woman suffered a collision with a car as a pedestrian (walking speed), a vertically unstable pelvic fracture (AO 61 C1.2.3) with transiliosacral and transpubic instability right.
In our study, urethroplasty after primary realignment was simpler, with good realignment of both urethral ends, less time consuming and none required transpubic
Transperineal repair was combined with a transpubic approach in this case, and patch urethroplasty with skin graft was performed.
Complex posterior urethral disruptions: management by combined abdominal transpubic perineal urethroplasty.
The success rate in both the groups were similar (excellent or acceptable result in 95%), but the redo cases required a longer operative time due to the more frequent need for the transpubic
approach and the need for meticulous dissection and additional maneuvers to achieve successful urethroplasty.
(38) Koraitimmi reported his findings on 68 children and concluded that the initial attempt in every case of urethral stricture should be by perineal approach and the transpubic
procedure should only be used, if tension-free anastomosis could not be obtained.