A 24-year-old patient who...

A 24-year-old patient who had suffered a road traffic accident presented with acute urinary retention and a pelvic fracture. To relieve the urinary retention, a suprapubic catheter was inserted. After 8 weeks, a retrograde urethrogram/micturating cystourethrogram (RGU/MCU) was performed, which revealed a long segment complete obliteration of the bulbar urethra. Surgical intervention was deemed necessary with a plan to perform a perineal urethrostomy (PPU); however, end-to-end anastomosis was not feasible due to the extensive defect. Consequently, the decision was made to utilize a prepucial flap to create a new bulbar urethra through tubularization in a McAninch flap urethroplasty. After the procedure, the patient's condition has significantly improved, and they are now experiencing successful voiding with a good urinary flow.