scholarly journals Posterior Urethral Strictures

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Joel Gelman ◽  
Eric S. Wisenbaugh
Keyword(s):  
Pelvic Fracture ◽  
Primary Anastomosis ◽  
Standard Of Care ◽  
Urethral Catheter ◽  
Tube Placement ◽  
Urethral Reconstruction ◽  
Urethral Strictures ◽  
Suprapubic Tube ◽  
Controversial Topic ◽  
Urethral Injuries

Pelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, but what is not controversial is that when there is the development of a stricture (which is usually obliterative with a distraction defect) after suprapubic tube placement or urethral catheter removal, the standard of care is delayed urethral reconstruction with excision and primary anastomosis. This paper reviews the management of patients who suffer pelvic fracture urethral injuries and the techniques of preoperative urethral imaging and subsequent posterior urethroplasty.

SIU/ICUD Consultation on Urethral Strictures: Pelvic Fracture Urethral Injuries

Urology ◽  
2014 ◽  
Vol 83 (3) ◽  
pp. S48-S58 ◽  
Author(s):  
Reynaldo G. Gómez ◽  
Tony Mundy ◽  
Deepak Dubey ◽  
Abdel Wahab El-Kassaby ◽  
Firdaoessaleh ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
Urethral Strictures ◽  
Urethral Injuries

scholarly journals Genitourinary injuries associated with pelvic fractures

2013 ◽  
Vol 60 (2) ◽  
pp. 117-120 ◽  
Author(s):  
Tomislav Pejcic ◽  
Zlatibor Loncar ◽  
Dragutin Rafailovic ◽  
Miodrag Acimovic ◽  
Zoran Dzamic ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
Motor Vehicle ◽  
Pelvic Fractures ◽  
Motor Vehicles ◽  
Urethral Reconstruction ◽  
Tertiary Institutions ◽  
Vehicle Accidents ◽  
Clinical Center ◽  
Bladder Injuries ◽  
Urethral Injuries

Introduction: Pelvic fractures represent approximately 3% of all skeletal injuries. About 15% of patients with pelvic fractures have associated bladder or urethral injuries. The most common causes of pelvic fracture are motor vehicle accidents, motorcycle crashes, motor vehicles striking pedestrians, and falls. Material and methods: Retrospective study included the patients treated in the Emergency Center, Clinical Center of Serbia, Belgrade, between 2000 and 2009. Of 7445 patients, there were 894 injuries of the urinary tract and 376 pelvic fractures; 55 patients with pelvic fractures (14.6%) had bladder or urethral injuries. There were 31 patients with bladder injuries, 22 patients with urethral injuries, and two patients with associated injuries of the posterior urethra and the bladder neck. Results: The bladder injuries were treated by surgical exploration, cystostomy, suture of the bladder lesions and urethral catheterization. Urethral injuries were treated by primary cystostomy and urethral reconstruction and catheterization in 18 patients (82%), while cystofix-cystostomy was performed in four patients (18%). Discussion: Genitourinary injuries increase overall mortality in patients with pelvic fracture, compared with traumas without associated GU injuries. These patients require multidisciplinary approach, preferably in tertiary institutions.

scholarly journals A False Route Case of Primary Excision Anastomosis (EPA) Procedure in The Treatment of Traumatic Bulbar Urethral Stricture

2019 ◽  
Vol 2 (3) ◽  
Author(s):  
I Gusti Ayu Putri Purwanthi ◽  
Gede Wirya Kusuma Duarsa ◽  
Tjok Gde Agung Senapathi
Keyword(s):  
Urethral Stricture ◽  
Primary Anastomosis ◽  
Psychological Problem ◽  
Pelvic Injury ◽  
Urethral Reconstruction ◽  
Unexpected Result ◽  
Urethral Strictures ◽  
Radiologic Evaluation ◽  
History Of

The bulbar urethra stricture is the most common form of anterior urethral stricture. The treatment of urethral strictures are varies and remains a challenging field in urology. Excision Primary Anastomosis (EPA) described as the most effective intervention for traumatic urethral stricture cases with a long-term success rate. This case report described male, 42 years old with history of pelvic injury. He had underwent cystostomy and conservative management for his pelvic injury. After EPA and pubectomy procedure in September 2019, he was still unable to void from his urethra. Radiologic evaluation with BVUC was done on October 2019, showing total obstruction of urethral as high as superior aspects of pars bulbosa, unfavourable anastomosed and displaced urethra. Acquired urethral stricture or fistula is an unexpected result of urethral reconstruction and leads to much inconvenience as well as psychological problem for the patient. This condition is avoidable by operation that was performed by experienced urologist and using a flexible cystoscopy as a guidance.

scholarly journals New Method for Large Suprapubic Tube Placement Using a Nephrostomy Balloon Dilator

2010 ◽  
Vol 4 (1) ◽  
pp. 30-32
Author(s):  
Roscoe S. Nelson ◽  
Sean J. Henderson
Keyword(s):  
New Method ◽  
Tube Placement ◽  
Suprapubic Tube ◽  
Balloon Dilator

What constitutes complexity rather than difficulty in the surgical reconstruction of pelvic fracture-related urethral injuries?

2021 ◽  
Vol 79 ◽  
pp. S1605
Author(s):  
J. Olphert ◽  
S.L. Ivaz ◽  
S. Bugeja ◽  
N. Jeffery ◽  
A. Frost ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
Surgical Reconstruction ◽  
Urethral Injuries

scholarly journals Traumatic Urethral Injury without Pelvic Fracture in an Adult Female

2010 ◽  
Vol 10 ◽  
pp. 308-310 ◽  
Author(s):  
Nathan A. Bockholt ◽  
Kenneth G. Nepple ◽  
Charles R. Powell ◽  
Karl J. Kreder
Keyword(s):  
Adult Female ◽  
Pelvic Fracture ◽  
Acetabular Fracture ◽  
Bladder Neck ◽  
Motor Vehicle ◽  
Urethral Catheter ◽  
Urethral Injury ◽  
Rare Occurrence ◽  
Urethral Meatus ◽  
Vehicle Collision

A 23-year-old female was involved in a motor vehicle collision with multiple injuries, including a right acetabular fracture, but no pelvic fracture. Urology consultation was obtained due to difficulty placing a urethral catheter. Examination revealed a longitudinal urethral tear with vaginal laceration extending 2 cm from the urethral meatus proximally toward the bladder neck. The longitudinal urethral tear was repaired primarily. Traumatic female urethral injury in the absence of a pelvic fracture is an exceedingly rare occurrence.

MP80-16 QUALITY OF LIFE IN NEUROGENIC BLADDER PATIENTS AFTER SUPRAPUBIC TUBE PLACEMENT

2014 ◽  
Vol 191 (4S) ◽  
Author(s):  
Rebecca Lavelle ◽  
Chasta Bacsu ◽  
Louise A. Gliga ◽  
Gary E. Lemack
Keyword(s):  
Quality Of Life ◽  
Neurogenic Bladder ◽  
Tube Placement ◽  
Suprapubic Tube
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