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URETHRAL STRICTURE AND URETHRAL RUPTURE

GERALD J. DELACEY M.A., M.B., F.F.R., ROBERT A. WILKINS B.Sc., M.B., F.F.R., MICHAEL P. SMALL M.D., and HOWARD WEXLER M.D.

The incidence of gonorrhea is increasing, and this may well be accompanied by an increase in the frequency of eventual urethral strictures in the male. At the present time, there has also been a marked increase in the number of plastic operations being performed for urethral stricture.

Radiology provides accurate preoperative assessment of the entire urethra. Bulbous urethral strictures are the most common, and their location in the bulb as seen at urethrography will indicate the technical difficulty that will be encountered at urethroplasty. In this regard, both retrograde urethrography and micturating cystourethrography are essential for the preoperative assessment of stricture.

The investigation of urethral rupture requires a different approach to that of urethral stricture. The protocol suggested will prevent a small rupture from being undiagnosed, and will also prevent such a rupture from being made more extensive or even complete.


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