Primary Endoscopic Realignment Following Posterior Urethral Disruption
| Autor: | Gary H. Carl, Jeffrey Cohen, Daniel D. Diamond, George Berg |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Membranous urethra Urology Urethroplasty medicine.medical_treatment Distal Urethra Urinary catheterization Fractures Bone Urethra Methods medicine Accidents Occupational Humans Pelvic Bones medicine.diagnostic_test business.industry Accidents Traffic Endoscopy medicine.disease Surgery Catheter medicine.anatomical_structure Pelvic fracture Wounds and Injuries Urinary Catheterization business |
| Zdroj: | Journal of Urology. 146:1548-1550 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | We describe 5 cases in which complete posterior urethral disruption associated with pelvic fracture was managed by primary endoscopic realignment 7 to 19 days after injury. Realignment was accomplished using a flexible endoscope through the suprapubic tract and a rigid or flexible cystoscope in the distal urethra. A guide wire was passed from the suprapubic tract through the disrupted membranous urethra and out the distal urethra. A Councill catheter was left indwelling for 5 to 10 weeks. After removal a program of intermittent self-catheterization was continued for 3 months. Excellent results were obtained in 4 patients who are continent, including 2 who are potent. This technique allows considerable reduction of patient morbidity without compromising formal urethroplasty should it later be required. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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