Outcomes of early endoscopic realignment for pelvic fracture urethral injury
نویسندگان
چکیده
منابع مشابه
Pro: endoscopic realignment for pelvic fracture urethral injuries
Patients with pelvic fracture urethral distraction injuries may benefit from early endoscopic realignment. Realignment is associated with a low risk of immediate complications and has a high success rate for achieving catheter placement. Review of over thirty studies assessing for subsequent urethral stenosis, including at least a dozen that directly compare realignment to suprapubic diversion ...
متن کاملEarly Realignment Versus Delayed Urethroplasty in Management of Pelvic Fracture Urethral Injury: A Meta-analysis.
AIM this meta-analysis study will evaluate the incidence of urethral stricture as a successfull parameter in the management of PFUI through early realignment, compared with delayed urethroplasty. Long-term complications such as erectile dysfunction and incontinence on both methods will also be evaluated. METHODS online literature was sourced from Pubmed, Embase, Cochrane, and Google Scholar. ...
متن کاملThe case against primary endoscopic realignment of pelvic fracture urethral injuries
OBJECTIVES To review previous reports and present our experience on the outcomes after treating pelvic fracture urethral injuries (PFUIs) with primary endoscopic realignment (PER) vs. placing a suprapubic tube (SPT) with elective bulbomembranous anastomotic urethroplasty (BMAU). METHODS We reviewed previous reports and identified articles that reported outcomes after PER vs. SPT and elective ...
متن کاملThe management of the acute setting of pelvic fracture urethral injury (realignment vs. suprapubic cystostomy alone)
BACKGROUND In patients with pelvic fracture urethral injury there are two options for management: First, to realign as an early primary realignment over a catheter; and second, to place a suprapubic tube with delayed urethroplasty of the inevitable stricture. METHODS We reviewed previous reports from 1990 to the present, comparing early endoscopic realignment, early open realignment and supra...
متن کاملOutcomes of Early Endoscopic Realignment Versus Suprapubic Cystostomy and Delayed Urethroplasty for Pelvic Fracture-related Posterior Urethral Injuries: A Systematic Review.
CONTEXT The evidence base for optimal acute management of pelvic fracture-related posterior urethral injuries needs to be reviewed because of evolving endoscopic techniques. The current standard of care is suprapubic cystostomy followed by delayed urethroplasty. OBJECTIVE To systematically review the evidence base comparing early endoscopic realignment with cystostomy and delayed urethroplast...
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ژورنال
عنوان ژورنال: European Urology
سال: 2023
ISSN: ['1421-993X', '0302-2838', '1873-7560']
DOI: https://doi.org/10.1016/s0302-2838(23)00137-9