{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:05:46Z","timestamp":1787169946097,"version":"build-2736575974"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Currently, transperineal anastomotic urethroplasty approach is the reference standard in the surgical reconstruction of pelvic fracture urethral distraction defects. The approach is suitable for all but the most complex cases which might require abdominoperineal approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We reviewed our recent experience with transperineal anastomotic urethroplasty with respect to success rate and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      This was a retrospective descriptive study carried out at Jos University Teaching Hospital from March 2015 to March 2018. The case notes of male patients who had transperineal anastomotic urethroplasty for pelvic fracture urethral distraction defects within the study period were retrieved. Patients' demographics, cause and nature of pelvic fracture urethral distraction defects, the success rate, and complications were collected and subjected to statistical analysis using SPSS\n                      <jats:sup>\u00ae<\/jats:sup>\n                      version 22.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixteen men with mean age of 29.6 \u00b1 7.8 years had transperineal anastomotic urethroplasty for pelvic fracture urethral distraction defect (PFUDD) during the study period. The mean defect gap length was 4.5 cm (range, 2\u20137 cm). Out of the 16 patients, 6 (37.5%) had simple transperineal urethroplasty, while 10 (62.5%) underwent a more extensive transperineal urethroplasty. Four patients (25%) had inferior pubectomy. A total of 7 (43.8%) patients had erectile dysfunction (ED) before and after the urethroplasty. Five (31.3%) patients had ED before the urethroplasty 2 (12.5%) patients developed ED after the surgery. After mean follow-up duration of 2 years (range, 1\u20134 years), 12 (75%) patients had satisfactory urinary stream. The mean Qmax for the 16 patients was 16 ml\/s (range, 0\u201335 ml\/s). The 12 (75%) patients that had no complaints of LUTS, had Qmax \u2265 15 ml\/s at mean follow-up duration of 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Transperineal anastomotic urethroplasty for PFUDD is considered suitable technique for treatment of PFUDD with good surgical outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_74_20","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T02:48:05Z","timestamp":1692586085000},"page":"45-50","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Transperineal Anastomotic Urethroplasty for Pelvic Fracture Urethral Distraction Defects"],"prefix":"10.4103","volume":"24","author":[{"given":"IC","family":"Akpayak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SI","family":"Samaila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JB","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240907","first-page":"15","article-title":"Surgical repair of posterior urethral defects: Review of literature and presentation of experience","volume":"5","author":"Hosseini","year":"2008","journal-title":"Urol J"},{"key":"R2-7-20240907","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.aju.2015.01.002","article-title":"Simple perineal and elaborated perineal posterior urethroplasty","volume":"13","author":"Webster","year":"2015","journal-title":"Arab J Urol"},{"key":"R3-7-20240907","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1111\/j.1464-410X.2007.07020.x","article-title":"Proposed mechanisms of lower urinary tract injury in fractures of pelvic ring","volume":"100","author":"Andrich","year":"2007","journal-title":"BJU Int"},{"key":"R4-7-20240907","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1097\/01.ju.0000152252.48176.69","article-title":"Cadaveric anatomy of pelvic fracture urethral distraction injury: Most injuries are distal to the external urinary sphincter","volume":"173","author":"Mouraviev","year":"2005","journal-title":"J Urol"},{"key":"R5-7-20240907","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/S0022-5347(05)68918-5","article-title":"pelvic fracture urethral injury: The unresolved controversy","volume":"161","author":"Koraitim","year":"1999","journal-title":"J Urol"},{"key":"R6-7-20240907","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1097\/01.ju.0000146683.31101.ff","article-title":"On the art of anastomotic posterior urethroplasty: A 27 year experience","volume":"173","author":"Koraitim","year":"2005","journal-title":"J Urol"},{"key":"R7-7-20240907","first-page":"739","article-title":"Exposure of membranous and posterior urethra by total pubectomy","volume":"121","author":"Pirece","year":"1979","journal-title":"J Urol"},{"key":"R8-7-20240907","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/S0022-5347(17)60459-2","article-title":"The transpubic approach to the lower urinary tract","volume":"109","author":"Waterhouse","year":"1973","journal-title":"J Urol"},{"key":"R9-7-20240907","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/S0022-5347(17)58809-6","article-title":"The use of the omental pedicle graft in urinary tract reconstruction","volume":"116","author":"Turner-Warwick","year":"1976","journal-title":"J Urol"},{"key":"R10-7-20240907","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/S0022-5347(17)45609-6","article-title":"Perineal transpubic repair: A technique for treating post-traumatic prostatomembranous urethral strictures","volume":"135","author":"Webster","year":"1986","journal-title":"J Urol"},{"key":"R11-7-20240907","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1111\/j.1464-410X.2005.05774.x","article-title":"Surgical atlas. Anastomotic urethroplasty","volume":"96","author":"Mundy","year":"2005","journal-title":"BJU Int"},{"key":"R12-7-20240907","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1016\/j.eururo.2008.07.052","article-title":"What is the best technique for urethroplasty?","volume":"54","author":"Andrich","year":"2008","journal-title":"Eur Urol"},{"key":"R13-7-20240907","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3109\/21681805.2013.817484","article-title":"Complex pelvic fracture urethral distraction defects revisited","volume":"48","author":"Koriatim","year":"2014","journal-title":"Scan J Urol"},{"key":"R14-7-20240907","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/S0022-5347(01)65188-7","article-title":"Reconstruction of posterior urethral disruption injuries: Outcome analysis in 82 patients","volume":"157","author":"Morey","year":"1997","journal-title":"J Urol"},{"key":"R15-7-20240907","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/0974-7796.65104","article-title":"Transperineal bulboprostatic anastomotic repair of pelvic fracture urethral distraction defect and role of ancillary manourvre: A retrospective study in 172 patients","volume":"2","author":"Singh","year":"2010","journal-title":"Urol Ann"},{"key":"R16-7-20240907","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.aju.2015.01.002","article-title":"Simple perineal and elaborated perineal posterior urethroplasty","volume":"13","author":"Webster","year":"2015","journal-title":"Arab J Urol"},{"key":"R17-7-20240907","doi-asserted-by":"crossref","first-page":"1877","DOI":"10.1097\/01.ju.0000091642.41368.f5","article-title":"Perineal repair of pelvic fracture urethral distraction defects: Experience in 120 patients during the last 10 years","volume":"173","author":"Flynn","year":"2003","journal-title":"J Urol"},{"key":"R18-7-20240907","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.urology.2007.09.072","article-title":"Urethroplasty by perineal approach for bulbar and membranous urethral strictures in children and adolescents","volume":"71","author":"Shenfeild","year":"2008","journal-title":"Urology"},{"key":"R19-7-20240907","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1016\/j.juro.2006.11.092","article-title":"Anastomotic urethroplasty for posttraumatic urethral stricture: Previous manipulation has a negative impact on the final outcome","volume":"4","author":"Culty","year":"2007","journal-title":"J Urol"},{"key":"R20-7-20240907","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.urology.2009.06.081","article-title":"Impact of prior urethral manipulation on outcome of anastomotic urethroplasty for posttraumatic urethral stricture","volume":"75","author":"Singh","year":"2010","journal-title":"Urology"},{"key":"R21-7-20240907","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/j.juro.2009.11.045","article-title":"Posterior urethral stricture after pelvic fracture urethral distraction defects in developing and developed countries, and choice of surgical technique","volume":"183","author":"Kulkarni","year":"2010","journal-title":"J Urol"},{"key":"R23-7-20240907","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/S0022-5347(17)58109-4","article-title":"Complex traumatic posterior urethral strictures","volume":"188","author":"Turner-Warwick","year":"1977","journal-title":"J Urol"},{"key":"R24-7-20240907","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.aju.2014.11.008","article-title":"Complex posterior urethral injury","volume":"13","author":"Kulkarni","year":"2015","journal-title":"Arab J Urol"},{"key":"R25-7-20240907","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1016\/j.juro.2006.11.036","article-title":"Simplified reconstruction of posterior urethral disruption defects: Limited role of suprcrural rerouting","volume":"177","author":"Kizer","year":"2007","journal-title":"J Urol"},{"key":"R26-7-20240907","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.1016\/j.juro.2007.07.020","article-title":"Urethral reconstruction for traumatic posterior urethral disruption: Outcomes of a 25-year experience","volume":"178","author":"Cooperberg","year":"2007","journal-title":"J Urol"},{"key":"R27-7-20240907","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1016\/j.juro.2008.10.170","article-title":"Perineal anastomotic urethroplasty for posttraumatic urethral stricture with or without previous urethral manipulations: A review of 61 cases with long-term follow up","volume":"181","author":"Lumen","year":"2009","journal-title":"J Urol"},{"key":"R28-7-20240907","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1016\/S0022-5347(17)38442-2","article-title":"Repair of pelvic fracture posterior urethral defects using elaborated perineal approach: Experience with 74 cases","volume":"145","author":"Webster","year":"1996","journal-title":"J Urol"},{"key":"R29-7-20240907","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1111\/j.1464-410X.2005.05309.x","article-title":"Perineal anastomotic urethroplasty for managing post-traumatic urethral strictures in children: The long-term outcome","volume":"95","author":"Hafez","year":"2005","journal-title":"BJU Int"},{"key":"R30-7-20240907","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/S0090-4295(02)02151-9","article-title":"Mechanism of continence after repair of post-traumatic urethral strictures","volume":"61","author":"Koraitim","year":"2003","journal-title":"Urology"},{"key":"R31-7-20240907","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/0090-4295(86)90385-7","article-title":"Mechanism of continence after transpubic urethroplasty","volume":"27","author":"Koraitim","year":"1986","journal-title":"Urology"},{"key":"R32-7-20240907","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.aju.2015.02.004","article-title":"Bladder neck incompetence at posterior urethroplasty","volume":"13","author":"Koraitim","year":"2015","journal-title":"Arab J Urol"},{"key":"R33-7-20240907","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/S0022-5347(05)68557-6","article-title":"The significance of open bladder neck association with pelvic fracture urethral distraction defects","volume":"162","author":"Iselin","year":"1999","journal-title":"J Urol"},{"key":"R34-7-20240907","doi-asserted-by":"crossref","first-page":"2173","DOI":"10.1097\/01.ju.0000067660.51231.05","article-title":"The incidence and causes of erectile dysfunction after pelvic fractures associated with posterior urethral disruption","volume":"169","author":"Shenfeld","year":"2003","journal-title":"J Urol"},{"key":"R35-7-20240907","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1590\/S1677-5538.IBJU.2014.0170","article-title":"The vascular and neurogenic factors associated with erectile dysfunction in patients after pelvic fractures","volume":"41","author":"Guan","year":"2015","journal-title":"Int Braz J Urol"},{"key":"R36-7-20240907","doi-asserted-by":"crossref","first-page":"9671297","DOI":"10.1155\/2016\/9671297","article-title":"Sexual (dys) function after urethroplasty","volume":"2016","author":"Xambre","year":"2016","journal-title":"Adv Urol"},{"key":"R37-7-20240907","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.aju.2014.09.004","article-title":"The incidence of erectile dysfunction after pelvic fracture urethral injury: A systematic review and meta-analysis","volume":"13","author":"Blaschko","year":"2015","journal-title":"Arab J Urol"},{"key":"R38-7-20240907","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1016\/j.urology.2012.12.040","article-title":"Predictors of erectile dysfunction post pelvic fracture urethral injuries: A multivariate analysis","volume":"81","author":"Koriatim","year":"2013","journal-title":"Urology"},{"key":"R39-7-20240907","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.2106\/00004623-197557080-00013","article-title":"Impotence after fractures of the pelvis","volume":"57","author":"King","year":"1975","journal-title":"J Bone Joint Surg Am"},{"key":"R40-7-20240907","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1111\/j.1464-410X.2009.08589.x","article-title":"Erectile function after posterior urethroplasty for pelvic fracture-urethral distraction defect injuries","volume":"104","author":"Anger","year":"2009","journal-title":"BJU Int"},{"key":"R41-7-20240907","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.urology.2018.01.035","article-title":"Risk stratification for erectile dysfunction after pelvic fracture urethral injuries","volume":"115","author":"Chung","year":"2018","journal-title":"Urology"},{"key":"R42-7-20240907","first-page":"33","article-title":"Effects of anastomotic posterior urethroplasty (simple or complex) on erectile function: A prospective study","volume":"15","author":"Hosseini","year":"2018","journal-title":"Urol J"},{"key":"R43-7-20240907","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1111\/j.1464-410X.2005.05523.x","article-title":"A comparison of one-stage procedures for post-traumatic urethral stricture repair","volume":"95","author":"Berger","year":"2005","journal-title":"BJU Int"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_74_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:15:23Z","timestamp":1787166923000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_74_20"}},"subtitle":["The Outcomes of Surgical Management"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_74_20","relation":{},"ISSN":["1119-3077"],"issn-type":[{"value":"1119-3077","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}