This manuscript addresses the following question: "do prior urethral manipulations adversely affect the outcomes of urethral reconstruction, for traumatic posterior urethral strictures?" This question is of some importance as it relates to 2 issues, should these patients be treated in the acute phase with primary catheter realignment as has been suggested in recent years? And who should perform urethral reconstruction in these patients with posterior urethral traumatic strictures? The manuscript is based on a relatively small group of patients (58 patients during 13 years); thus, the study may not be robustly powered to make strong negative statements where statistical significance has not been reached. Median follow-up was also relatively short, that is, 31.5 months.
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