 Currently most PFUDDI are associated with trauma as an etiology. Posterior urethral disruption occurs in 4-14 of pelvic ring fractures and 80-90 of posterior urethral injuries are associated with pelvic fractures4. Sixty-five percent of post-traumatic posterior urethral injuries are complete5. Following trauma the ruptured urethra is usually replaced by fibrosis and in between there is no lumen. Anastomotic urethroplasty is a well established procedure to deal with posterior urethral strictures and gives very good long-term results6,7. 