Redo pelvic fracture urethral injury repair: The case for tadalafil

2021 ◽  
Vol 47 (4) ◽  
pp. 319-324
Author(s):  
Pankaj M. Joshi ◽  
◽  
Devang Desai ◽  
Seichi Fuziwara ◽  
Sheliyan Raveenthiran ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
Urethral Injury ◽  
Injury Repair

scholarly journals Outcome of patients with failed pelvic fracture-associated urethral injury repair: A single centre 10-year experience

2019 ◽  
Vol 45 (2) ◽  
pp. 139-145
Author(s):  
Gaurav Garg ◽  
◽  
Manmeet Singh ◽  
Manoj Kumar ◽  
Ajay Aggarwal ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
Urethral Injury ◽  
Single Centre ◽  
Injury Repair

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.

scholarly journals Outcomes Following Primary Realignment Versus Suprapubic Cystostomy with Delayed Urethroplasty for Pelvic Fracture-Associated Posterior Urethral Injury: A Systematic Review with Meta-Analysis

2019 ◽  
Vol 13 (3) ◽  
pp. 113-124 ◽  
Author(s):  
Alexander Light ◽  
Tanya Gupta ◽  
Maria Dadabhoy ◽  
Allen Daniel ◽  
Madura Nandakumar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Case Studies ◽  
Pelvic Fracture ◽  
Meta Analysis ◽  
Urethral Injury ◽  
Retrospective Case ◽  
Eligibility Criteria ◽  
High Quality Research ◽  
Suprapubic Cystostomy

Objective: Pelvic fracture can be complicated by posterior urethral injury (PUI) in up to 25% of cases. PUI can produce considerable morbidity, including urethral stricture, erectile dysfunction (ED), and urinary incontinence. Optimal management of PUI is unclear, however, the current gold standard is placement of a suprapubic cystostomy with delayed urethroplasty (SCDU) performed several months later. Another option is early primary realignment (PR) with urethral catheter, performed either open or endoscopically. Through a systematic review and meta-analysis, we aimed to compare PR and SCDU regarding stricture, ED, and urinary incontinence rates. In light of advancing endoscopic techniques, we also aimed to compare early endoscopic realignment (EER) alone with SCDU. Methods: PubMed, Medline, and Embase were searched for eligible studies comparing PR, including EER, and suprapubic cystostomy plus delayed urethroplasty from database inception until July 17th, 2018. We also reviewed reference lists from relevant articles. Study quality assessment was conducted using a modified Newcastle-Ottawa (mNOS) scale (maximum score 9). Results: From 461 identified articles, 13 studies encompassing 414 PR and 308 SCDU patients met our eligibility criteria. Twelve studies were retrospective non-randomized case studies, with 1 prospective randomized case study. Included studies were of moderately low quality (mNOS mean score: 6.0 ± 0.6). Meta-analysis demonstrated that PR and SCDU had similar stricture rates [odds ratio (OR): 2.14; 95% confidence interval (CI): 0.67-6.85; p = 0.20], similar rates of ED (OR: 1.06; 95% CI: 0.62-1.81; p = 0.84), and similar rates of urinary incontinence (OR: 0.94; 95% CI: 0.49-1.79; p = 0.86). Six studies compared EER alone (229 patients) versus SCDU (195 patients). Meta-analysis demonstrated that these modalities also had similar stricture rates (OR: 4.14; 95% CI: 0.76-22.45; p = 0.10), similar rates of ED (OR: 0.79; 95% CI: 0.41-1.54; p = 0.49), and similar rates of urinary incontinence (OR: 1.10; 95% CI: 0.48-2.53; p = 0.82). Conclusion: For PUI patients, neither PR nor EER produces superior outcomes compared to SCDU regarding stricture, ED, and urinary incontinence rates. The quality of studies in the literature, however, is very poor, with the majority of studies being non-randomized retrospective case studies with potentially high bias. Additional high-quality research, particularly prospective studies and randomized controlled trials, are needed to strengthen the evidence base.

scholarly journals Usefulness of a high‐speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury

2020 ◽  
Vol 27 (11) ◽  
pp. 1002-1007 ◽  
Author(s):  
Akio Horiguchi ◽  
Kenichiro Ojima ◽  
Masayuki Shinchi ◽  
Yusuke Hirano ◽  
Koetsu Hamamoto ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
High Speed ◽  
Urethral Injury ◽  
Anastomotic Urethroplasty

scholarly journals Pelvic fracture urethral injury in children: Surgical options and outcomes

2020 ◽  
Vol 19 ◽  
pp. e1148
Author(s):  
R. Banthia ◽  
P. Yadav ◽  
S. Sayal ◽  
M.S. Ansari
Keyword(s):  
Pelvic Fracture ◽  
Urethral Injury ◽  
Surgical Options
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