It seems that the debate will persist until a well-controlled prospective study that includes a large number of multicentersamples is done. Nevertheless, the collective published experience with urethral realignment, together with our own, could answer certain frequently asked questions, such as, "Does en-doscopic realignment have an advantage over suprapubic cys-tostomy (SPC) alone in patients with severe urethral injuries?" The answer is yes; it decreases the incidence of delayed repair, and, by shortening the urethral gap, it seems logical to surmise that it could facilitate delayed repair. If it should fail, it does not delay, compromise, or preclude the use of SPC and delayed repair.
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