2009, Number 6
Rev Mex Urol 2009; 69 (6)
Espinosa-Chávez GB, Zapata-González A, Colorado-García A
PDF size: 348.92 Kb.
ABSTRACTIntroduction: Reaching the posterior urethra in surgery is challenging in both male and female patients due to its comparative depth in the perineum and its close anatomical relation to relatively small structures.
Different approaches have been described, from the perineal approach to the suprapubic approach in which the posterior urethra is either “too low to reach from above” or “too high to reach from below”. In 1982, Dr. Alberto Peña described the posterior sagittal approach for correcting anorectal malformations involving intricate communication between the urinary, genital and digestive tracts. This approach exposes the anatomical structures involved with precision, enabling successful functional reconstruction. Since 1997 the authors of the present article have successfully used the posterior sagittal approach for correcting posterior urethral lesions in male patients. The case of a female patient with urethral and vaginal injury due to pelvic traumatism is presented.