EXPERIENCE AND CHALLENGES IN THE MANAGEMENT OF PELVIC FRACTURE URETHRAL DISTRACTION DEFECT (PFUDD) BY EXCISION AND END TO END URETHROPLASTY

PURPOSE: To identify and study various factors and complications that crop up in postoperative period and pose a challenge to the treating urologist in providing a satisfactory outcome to patients. MATERIAL AND METHODS: 240 patients who underwent urethroplasty were included in this study. Patients were followed up postoperatively at 6 week and 6 month. The retrospective arm was used as experience and existing complications were taken as challenge for improvising urethroplasty skills in management of urethral stricture secondary to PFUDD. RESULTS: majority of the patients were of reproductive age group, with bulb membranous junction as the most common location. Of all about 60% had TILE A grade of pelvic fractures, 27% had TILE B and 13% with TILE C. at 6 week follow up post urethroplasty none of the patient had recurrence of the stricture, 15 (6.25%) had erectile dysfunction and 5 (2.08%) patients presented with the complications of the urinary incontinence. At 6 month follow up after urethroplasty 15(6.25%) patients developed recurrence of stricture 5 out of 15 who presented with erectile dysfunction showed improvement