European Journal of Cardiovascular Medicine

Introduction: Urethral trauma as a consequence of high velocity road traffic accidents is a very devastating injury to sustain. This injury leads to distraction of prostatic urethra which is usually acutely managed by suprapubic cystostomy and then by the urethroplasty (progressive perineal urethroplasty) after 3 months. We have recently started this procedure in our department and we conducted the retrospective analysis of the patients who underwent this type of urethroplasty over a period of 4 years.  Aim: The aim of this study is to present our data of a newly started urethroplasty procedure with respect to the success rate and the complications.  Methods: This retrospective study was done in the Post Graduate Department of Surgery Government Medical College Srinagar from January 2019 to December 2022. All patients who underwent progressive perineal urethroplasty during this time period were included in this study and their preoperative, intraoperative and postoperative data and follow up was studied. All the procedures were done by a single surgeon.  Results: A total of 24 patients were operated on. The mean age of patients was 24.8 years and the mean interval between injury and urethroplasty was 9.7 months. Single ramus fracture 54.17% was the commonest type of fracture. Mean length of the stricture was 1.8 cm and we achieved a success of 91.66% in our series of patients.  Conclusion: Progressive perineal urethroplasty can be performed with excellent results if the surgeon is well trained in other urethroplasty procedures.