The incidence, causes, mechanism, risk factors, classification, and diagnosis of pelvic fracture urethral injury
| Autor: | Sarah D. Blaschko, Uwais B. Zaid, Jack W. McAninch, Amjad Alwaal, Thomas W. Gaither, Benjamin N. Breyer, Catherine R. Harris |
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| Rok vydání: | 2015 |
| Předmět: |
PFUDD
Urologic Diseases Urethral injury pelvic fracture urethral injury medicine.medical_specialty Urology Poison control retrograde urethrography pelvic fracture urethral distraction defect BN Clinical Research Diagnosis Injury prevention medicine Pelvic fracture Intensive care medicine RUG Epidemiology and Diagnosis of PFUI Review BN bladder neck PFUI business.industry Mechanism (biology) Incidence (epidemiology) PFUI pelvic fracture urethral injury RUG retrograde urethrography bladder neck Classification medicine.disease Surgery Urethra medicine.anatomical_structure MVC PFUDD pelvic fracture urethral distraction defect Injury (total) Accidents/Adverse Effects Etiology MVC motor vehicle collision motor vehicle collision business |
| Zdroj: | Arab journal of urology, vol 13, iss 1 Arab Journal of Urology Alwaal, A; Zaid, UB; Blaschko, SD; Harris, CR; Gaither, TW; McAninch, JW; et al.(2015). The incidence, causes, mechanism, risk factors, classification, and diagnosis of pelvic fracture urethral injury. Arab Journal of Urology, 13(1), 2-6. doi: 10.1016/j.aju.2014.08.006. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/9fm4z3mp |
| ISSN: | 2090-598X |
| DOI: | 10.1016/j.aju.2014.08.006 |
| Popis: | Background Pelvic fracture urethral injury (PFUI) is an uncommon but potentially devastating result of pelvic fracture. It ranges in severity based on the cause and the mechanism of injury. Methods We reviewed previous reports to identify the incidence, causes, mechanisms of injury and risk factors of PFUI. In addition, we reviewed the current classification systems and diagnostic methods that have been described to assess the severity of PFUI, to identify optimal management strategies and evaluate outcomes. Results PFUI occurs more commonly in men, but is more likely to be severe in children. The most common cause is motor vehicle collisions, and the mechanism is typically a ligament rupture at the attachment to the urethra. There is no reliable classification system to differentiate partial and complete PFUI. Retrograde urethrography is the standard imaging method but it has its limitations. Conclusions Despite many reports describing this injury, there is still a need to further clarify the incidence, aetiology and mechanism of injury to better determine optimal management strategies and evaluate outcomes. Consensus in the diagnosis of PFUI is lacking, and outcomes of primary realignment and the role of flexible cystoscopy as a diagnostic method are still to be determined. |
| Databáze: | OpenAIRE |
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