Total traumatic urethral transections can be reconstructed endoscopically if the obliterated segment is short (less than 3 cm). A small trocar is passed under radiographic control, and balloon dilatation is performed over a guidewire. Scar is resected, and triamcinolone is injected. An additional urethrotomy is usually required later. Ten patients have had this technique of reconstruction. Seven have good results with long-term follow-up; three are voiding well but have only short follow-up.
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