Intrapelvic bulboprostatic repair after urethral distraction injury and failed bulbomembranous anastomosis

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Transperineal bulboprostatic anastomotic repair of pelvic fracture urethral distraction defect and role of proximal urethral mobilisation: A retrospective study in 76 patients

Objective: We present our experience with transperineal bulboprostatic anastomotic procedure and compare the results with age of patients, length of urethral stricture, effect of previous treatment and need for urethral mobilisation. Materials and Methods: We retrospectively reviewed the outcome of 76 patients who underwent perineal urethroplasty procedure for traumatic stricture in our institu...

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Delayed repair of pelvic fracture urethral injuries: Preoperative decision-making

Pelvic fracture urethral injuries comprise one of the most challenging reconstructive procedures in urology. The obliterated or stenosed urethra can usually be effectively repaired by an end-to-end anastomosis (bulbomembranous anastomosis). To achieve this, a progression of surgical steps can be used to make a tension-free anastomosis. Before undertaking surgery it is important to comprehensive...

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Con: bulbomembranous anastomotic urethroplasty for pelvic fracture urethral injuries

Current literature remains controversial regarding whether to treat patients sustaining pelvic fracture urethral injuries (PFUIs) with primary endoscopic realignment (PER) versus suprapubic tube (SPT) placement alone with elective bulbomembranous anastomotic urethroplasty (BMAU). Success rates for PER following PFUI are wide-ranging, depending on various authors' definitions of what defines a s...

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Outcome of anastomotic urethroplasty in bulbomembranous urethral strictures.

Poorly managed traumatic bulbomembranous urethral strictures could have a devastating effect on the quality of life. Until recently this problem was poorly managed in Sri Lanka, condemning some patients to lifelong suffering with unsettled lower urinary tract obstructive symptoms and infective complications. The commonest primary injury is pelvic fracture. A complete urethral rupture associated...

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Sexual function after failed ileal pouch-anal anastomosis.

BACKGROUND AND AIMS Failure of ileal pouch-anal anastomosis (IPAA) occurs in around 10% of the patients. Compared to patients with functioning pouches, health related quality of life is deteriorated after failure. Sexual function in patients with pouch failure is however poorly studied. The aim was to study sexual function in patients with pelvic pouch failure; patients with functioning pouches...

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ژورنال

عنوان ژورنال: Urology Case Reports

سال: 2020

ISSN: 2214-4420

DOI: 10.1016/j.eucr.2020.101221