Endoscopic reconstruction was performed in 5 patients after complete traumatic disruption of the urethra. A prostatic urethra was disrupted in 1 patient, prostatic and membranous urethrae in 1 and bulbous urethra in 3. After endoscopic reconstruction, all patients required additional internal urethrotomy and urethral bougienage, but became able to void by themselves. Four patients had maximum flow rates between 13.8 and 41.9 ml/s. However, the other patient with an obliterated urethral segment of 4.6 cm had traumatic impotence preoperatively and a poor voiding status after reconstruction. None of the patients developed urinary incontinence or impotence associated with the operation. In conclusion, endoscopic reconstruction is recommended as the initial procedure for patients with obliterated segments smaller than 3 cm.