Late genitourinary tract complications associated with severe pelvic injury.

The late urologic complications in certain patients with a severe pelvic injury is inevitable, regardless of the immediate form of therapy instituted to the traumatized lower part of the urinary tract. The three most common late genitourinary complications are deep urethral stricture, urinary incontinence and erectile impotency. The modified posterior urethroplasty for deep urethral stricture used in this series is simple and extremely successful. The genitourinary prosthesis was found quite useful in the surgical management of traumatic urinary incontinence and erectile impotency. These surgical techniques have made it possible to rehabilitate totally the crippling urologic sequelae of pelvic trauma.