Abstract

The aim of the study is to analyze the association between the type of pelvic fracture and its prognostic significance in rupture membranous urethra. Pre-operative evaluation also included routine investigations such as blood, urine examination, pelvic radiographs, as well as specific ones, viz. retrograde urethrogram, urethrosonogram, and uroflowmetry. Patients were accordingly categorized, based on their etiologies, as post traumatic, post infective, iatrogenic, or unknown. Results: Most of the patients presented to us for definitive reconstructive procedure within 1 year of trauma [75.05%], ranging from a few hours after trauma to up to even 15 years. Road traffic accidents and fall from height were the main modes of trauma. Overall results in the post-operative period were compared at 3, 6, 12 and 24 months. Conclusion: Urethral strictures have been a reconstructive dilemma for many years due to the high incidence of recurrence as well as less than satisfactory outcomes. A thorough preoperative evaluation, appropriate surgical planning, and adherence to basic surgical principles, even in the hands of the most experienced surgeon, have failed to achieve the desired results. Post traumatic strictures had a short average length of 3.4 cms

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