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URETHROSCOPIC REALIGNMENT OF RUPTURED BULBAR URETHRA

2000; Lippincott Williams & Wilkins; Volume: 164; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(05)67024-3

1527-3792

Yinghao Sun, Chuanliang Xu, Xu Gao, Liao Guoqiang, Jianguo Hou,

Genital Health and Disease

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Nov 2000URETHROSCOPIC REALIGNMENT OF RUPTURED BULBAR URETHRA SUN YING-HAO, X.U. CHUAN-LIANG, GAO XU, LIAO GUO-QIANG, and HOU JIAN-GUO SUN YING-HAOSUN YING-HAO More articles by this author , X.U. CHUAN-LIANGX.U. CHUAN-LIANG More articles by this author , GAO XUGAO XU More articles by this author , LIAO GUO-QIANGLIAO GUO-QIANG More articles by this author , and HOU JIAN-GUOHOU JIAN-GUO More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67024-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the efficiency of early endoscopic realignment as primary therapy for bulbar urethral disruption after straddle injury. Materials and Methods: From 1990 to 1999 we treated 16 men who had bulbar urethral disruption with endoscopic realignment. Followup included uroflowmetry and urethroscopy at 39 to 85 months. Results: All 16 cases were successfully treated at a single session without intraoperative or postoperative complications. Only 2 patients required intermittent self-dilation once weekly and all were potent during followup. Conclusions: The results of this minimally invasive procedure are comparable to those of open surgery. It may be performed on an outpatient basis using only local anesthesia. Our results imply that this cost-effective therapy should be done as the initial step in most patients with bulbar urethral disruption. References 1 : Initial management of acute urethral injuries. Br J Urol1989; 64: 165. Google Scholar 2 : Anterior urethral injuries: four years of experience at the Detroit General Hospital. J Urol1978; 120: 563. Link, Google Scholar 3 : Trauma to the lower urinary tract. In: Adult and Pediatric Urology. Edited by . St. Louis: Mosby Year Book1991: 400. chapt. 3. Google Scholar 4 : Genitourinary trauma. In: . Edited by . Philadelphia: W. B. Saunders1998: 3085. chapt. 99. Google Scholar 5 : Injuries to the urinary tract. Proc R Soc Med1963; 56: 1046. Google Scholar 6 : Primary realignment of the disrupted prostatomembranous urethra. Urol Clin North Am1989; 16: 291. Google Scholar 7 : The value of immediate or early catheterization of the traumatized posterior urethra. J Urol1992; 148: 1428. Link, Google Scholar 8 : Pelvic fracture urethral injuries: the unresolved controversy. J Urol1999; 161: 1433. Link, Google Scholar From the Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByPARK S and McANINCH J (2018) Straddle Injuries to the Bulbar Urethra: Management and Outcomes in 78 PatientsJournal of Urology, VOL. 171, NO. 2, (722-725), Online publication date: 1-Feb-2004. Volume 164Issue 5November 2000Page: 1543-1545 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsurethraruptureendoscopywounds, nonpenetratingMetricsAuthor Information SUN YING-HAO More articles by this author X.U. CHUAN-LIANG More articles by this author GAO XU More articles by this author LIAO GUO-QIANG More articles by this author HOU JIAN-GUO More articles by this author Expand All Advertisement Loading ...