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Currently, transperineal anastomotic urethroplasty approach is the research standard within the medical reconstruction of pelvic fracture urethral distraction flaws. The approach works for all nevertheless the many complex situations that might require abdominoperineal approach. We evaluated our present knowledge about transperineal anastomotic urethroplasty with respect to rate of success and problems. This is a retrospective descriptive study performed at Jos University Teaching Hospital from March 20