Salem had a history of recurrent urethral obstructions, with the two most recent episodes occurring less than six weeks apart. Both required general anaesthesia, catheterisation and hospitalisation.
Presentation
On this latest presentation — just four weeks after the previous event — blood biochemistry revealed elevated renal parameters, and stabilisation was necessary prior to any further intervention. Given the frequency of recurrence and his clinical history, perineal urethrostomy was considered the most appropriate long-term solution.
Procedure
The procedure was performed with the patient in dorsal recumbency, using 1.5-metric polyglecaprone 25 as the suture material.
Recovery
Salem recovered very well postoperatively. Mild haematuria observed immediately after surgery resolved within a few days.