Objectives: A new technique is described for primary realignment of prostatomembranous urethral disruptions using endourologic techniques.
Methods: Realignment was achieved in 3 patients on the day of injury. Primary urethral realignment is achieved by passing a council-tip catheter over a guidewire inserted during antegrade flexible cystourethroscopy.
Results: Three patients underwent successful realignment on the day of injury. With an average follow-up of 6 months, 2 patients are voiding spontaneously without evidence of a urethral stricture; 1 patient developed a structure necessitating delayed urethroplasty. All patients have retained their potency and continence.
Conclusions: Our technique provides an expeditious, simple, and atraumatic means of obtaining primary realignment of acute prostatomembranous urethral disruptions.