Endoscopic urethroplasty: an improved technique.

Endoscopic urethroplasty is an excellent alternative to open repair of the traumatically disrupted posterior urethra. It offers the advantage of limiting surgical trauma to an already scarred urethra and pelvic floor. Our technique also allows fluoroscopic guidance of the recanalization procedure to align the new urethral channel precisely with minimum disruption of the nerves and muscles of the periurethral tissue and pelvic floor. It obviates the need for a second surgeon viewing the urethra from above as has been required in previously described techniques. This procedure allows for maximal preservation of residual post-traumatic continence and erectile function because it minimizes blind passage of instruments.