Introduction and objective: During a period from 2004 to 2013, 163 patients with posterior urethral stricture caused by pelvic fracture have been treated by transperineal end-to-end bulboprostatic anastomotic repair at the urology department of Viet-Duc university Hospital. This paper aims at providing an evaluation of the outcomes of the transperineal end-to-end anastomosis of the urethra and at assessing the prognostic factors of this surgical approach that has been used to treat patients with posterior urethral stricture. Patients and method: This is a prospective study conducted in patients with posterior urethral stricture caused by pelvic fracture that have been treated by transperineal end-to-end anastomotic repair; the study have been carried out in a period from january 2004 to january 2013. Results: The mean age of the patients was 34.1 years. The mean duration from the occurrence of the pelvic fracture to the urethral surgical repair was 4.7 months. Preoperatively, erectile dysfunction rate was 63.85 percent (104), while in 36.15 percent (59) of patients this normal function was not affected. The overall postoperartive outcomes were assessed as good in 89.63 percent of patients. The postoperative problems included urinary leakage through the perineal wound, dysuria that required catheterization, and permanent urinary incontinence. With regards to the long-term postoperative outcomes, good voiding function was found in 91.53 percent of patients, good erectile function was found in 78.55 percent (128) patients, but in other 35 (21.55 percent) patients their erectile dysfunction has not been recovered. Conclusion: Transperineal end-toend anastomotic surgical repair is an effective method for the treatment of posterior urethra stricture caused by pelvic fracture. This is a safe surgical method, with few complications, and may result in long-term stabilized outcome.
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