PD31-01 A MULTI-CENTER PROSPECTIVE COHORT STUDY OF ENDOSCOPIC URETHRAL REALIGNMENT VERSUS SUPRAPUBIC CYSTOSTOMY AFTER PELVIC FRACTURE URETHRAL INJURY

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) II (PD31)1 Sep 2021PD31-01 A MULTI-CENTER PROSPECTIVE COHORT STUDY OF ENDOSCOPIC URETHRAL REALIGNMENT VERSUS SUPRAPUBIC CYSTOSTOMY AFTER PELVIC FRACTURE INJURY Benjamin McCormick, Sorena Keihani, Jeremy Myers McCormickBenjamin McCormick More articles by this author , KeihaniSorena Keihani MyersJeremy View All Author Informationhttps://doi.org/10.1097/JU.0000000000002032.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic fracture urethral injury (PFUI) occurs in up 10% pelvic fractures. In management PFUI, there is mixed evidence supporting endoscopic realignment (EUR) over suprapubic tube (SPT) placement delayed urethroplasty. Some retrospective studies reveal decreases obstruction with EUR, while others show few differences. We hypothesized that EUR would reduce stenosis after PFUI. METHODS: Prior study initiation, centers agreed follow either the or SPT protocol. Twenty-six US contributed patients from 2015-2020. Adult presenting blunt trauma PFUI underwent retrograde cystoscopy confirm complete disruption. If cystoscopic catheter failed, were included based on their institution’s arm. was performed within 7 days involved simultaneously passing scopes antegrade place a across injury. Patients arm even if not successful. The primary endpoint development stenosis. Fisher’s exact test used analyze relationship between RESULTS: Sixty-nine enrolled, 37 (53.6%) arm, 32 (46.4%) There no difference demographic make-up cohorts (Table 1). Mean age 37.0 years. Mechanism MVC-related 72.5% patients. Injury Severity Score 29.7. most common sign blood at meatus (75.4%). 463 initial 36 (97.3%) developed compared 30 (93.8%) (p=0.471). Urethroplasty 31 (88.6%) 29 (90.6%) arms, respectively (p=0.784). CONCLUSIONS: prospective multi-institutional associated lower rate urethroplasty placement. Given these findings potential risk clinicians should consider as treatment for when Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e538-e538 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...