{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T03:48:52Z","timestamp":1786506532993,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T00:00:00Z","timestamp":1371168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2013,8]]},"abstract":"\n Objective<\/jats:title>\n \n \n \n To describe the complications of transperineal end\u2010to\u2010end anastomotic urethroplasty in patients with posterior urethral strictures resulting from pelvic fracture.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n \n \n A total of 573 patients, who underwent bulboprostatic anastomosis for posterior urethral strictures, were enrolled in this study. Distraction defects were measured using retrograde urethrography combined with voiding cysto\u2010urethrography.<\/jats:p>\n <\/jats:list-item>\n \n All patients underwent perineal excision and primary anastomotic urethroplasty. The urethroplasty was considered successful if the patient was free of stricture\u2010related obstruction and did not require any further intervention.<\/jats:p>\n <\/jats:list-item>\n \n The degree of stress incontinence was assessed daily by pad testing.<\/jats:p>\n <\/jats:list-item>\n \n \n The prevalence of pre\u2010 and postoperative sexual disorders was investigated using the\n I<\/jats:styled-content>\n nternational\n I<\/jats:styled-content>\n ndex of\n E<\/jats:styled-content>\n rectile\n F<\/jats:styled-content>\n unction\u20105 questionnaire.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n Of 573 bulboprostatic anastomosis procedures performed, 504 (88%) were successful and 69 (12%) were not successful.<\/jats:p>\n <\/jats:list-item>\n \n \n The mean (\n sd<\/jats:sc>\n ) maximum urinary flow rate, assessed by uroflowmetry 4 weeks after surgery, was 20.52 (5.1) mL\/s.\n <\/jats:p>\n <\/jats:list-item>\n \n Intraoperative rectal injury was repaired primarily in 28 cases. Recurrence of urethral strictures was observed in 10 (1.7%) patients during the first 6 months after surgery, and in 45 patients from 6 months to 1 year. All of these patients underwent re\u2010operation.<\/jats:p>\n <\/jats:list-item>\n \n Twenty\u2010four (4.2%) patients had mild urge incontinence and 28 (4.9%) had mild stress incontinence.<\/jats:p>\n <\/jats:list-item>\n \n \n Erectile dysfunction (\n ED<\/jats:styled-content>\n ) was present in two (<0.1%) patients before trauma and in 487 (85%) patients after trauma. There was no statistical difference between the incidences of preoperative and postoperative\n ED<\/jats:styled-content>\n (85 vs 86%,\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:list-item>\n \n Nine (1%) patients were found to have false passage between the posterior urethra and bladder neck.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n \n \n The majority of complications associated with transperineal bulboprostatic anastomosis can be avoided as long as meticulous preoperative evaluation to define the anatomy and careful intra\u2010operative manipulation are ensured.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12171","type":"journal-article","created":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T08:48:59Z","timestamp":1371199739000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Recurrence and complications after transperineal bulboprostatic anastomosis for posterior urethral strictures resulting from pelvic fracture: a retrospective study from a urethral referral centre"],"prefix":"10.1111","volume":"112","author":[{"given":"Qiang","family":"Fu","sequence":"first","affiliation":[{"name":"Department of Urology Shanghai Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Shanghai Sixth People's Hospital Shanghai 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