==== Front Int Braz J Urol Int Braz J Urol ibju International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology 1677-5538 1677-6119 Sociedade Brasileira de Urologia 33047932 S1677-5538.IBJU.2019.0425 10.1590/S1677-5538.IBJU.2019.0425 Video Section Robotic Posterior Urethroplasty after Complete Urethral Transection During Abdominal Perineal Resection https://orcid.org/0000-0001-8042-7036Baumgarten Adam S. 1 Heinsimer Kevin 2 Wiegand Lucas 1 1 University of South Florida Department of Urology TampaFlorida United States Department of Urology, University of South Florida, Tampa General Circle, Tampa, Florida, United States; 2 USF Health Morsani College of Medicine Department of Urology TampaFlorida United States Department of Urology, USF Health Morsani College of Medicine, Tampa General Circle, Tampa, Florida, United States Correspondence address: Adam S. Baumgarten, MD, University of South Florida - Urology 2, Tampa General Circle, Tampa Florida, 33620-9951, United States. E-mail: abaumgar@health.usf.eduCONFLICT OF INTEREST None declared. 18 11 2020 Jan-Feb 2021 47 1 210 210 27 6 2019 04 4 2020 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.ABSTRACT Introduction and objective: Urethral trauma after colorectal surgery is rare, and therefore, there is a paucity of literature on their management in the current era. Additionally, there is a lack of cases describing robotic posterior urethral repair without a simultaneous perineal dissection or history of prostate cancer treatment. Materials and methods: Description of a robotic transabdominal posterior urethroplasty in a 39-year-old male with complete urethral transection after laparoscopic abdominal perineal resection (APR). Results: The patient sustained complete urethral disruption while undergoing an APR. Imaging was consistent with urologic trauma limited to a urethral transection proximal to the membranous urethra. Three days after the APR, the patient was taken to the OR for repair. Prior port sites were utilized for our robotic port placement, the retropubic space was developed and dorsal venous complex divided similarly to a prostatectomy. After identifying the urethra with the aid of a cystoscope, the prostatic urethra was anastomosed to the membranous using a 3-0 barbed monofilament. At postoperative week four, a voiding cystourethrogram showed a small leak, therefore the urethral catheter was left for a total of six weeks. At last follow-up, the patient was voiding per urethra without fistula, incontinence, or stricture. Conclusions: Early robotic repair of an iatrogenic posterior urethral disruption is feasible with successful short-term outcomes. This is a select and rare complication of colorectal surgery and therefore, long-term stricture free rates are yet to be determined. ==== Body ARTICLE INFO Available at:http://www.intbrazjurol.com.br/video-section/20190425_Baumgarten_et_al