ABSTRACT
Surgery for urethral stricture can be accomplished, usually, with minimal morbidity and complication. The most common complication of surgery for urethral stricture is recurrence of stricture. The entity of erectile dysfunction has to be addressed with any urethral reconstructive surgery. As the anterior perineal triangle is dissected, particularly proximally, the dissection is carried close to the nerves that govern erection. The suspension of anticoagulation therapy surrounding the time of surgery must be very carefully coordinated in order to minimize bleeding while also minimizing the occurrence of complication resulting from suspension of anticoagulation therapy. The patient undergoing redo surgery following complications of prior urethral reconstruction seems to be particularly at risk. The patient’s tissues have been operated and there is a paucity of tissues available for interposition. Incontinence has been proposed as a complication of urethral reconstruction and also the entity of pelvic fracture.
