Prospective randomised study of cases of pelvic fracture urethral distraction defects managed by early alignment versus initial suprapubic urinary diversion with delayed urethroplasty
نویسندگان
چکیده
منابع مشابه
Early 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 کاملFlexible cystoscope for evaluating pelvic fracture urethral distraction defects.
OBJECTIVE To describe the value of flexible cystoscopy versus conventional urethrography (retrograde urethrography and cystourethrography) in diagnosing pelvic fracture urethral distraction defects (PFUDDs). PATIENTS AND METHODS Between May 2010 and June 2011, 120 male patients with PFUDDs were evaluated. In this study, all patients underwent conventional urethrography after admission. Flexib...
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...
متن کاملClassification of pelvic fracture urethral injuries: Is there an effect on the type of delayed urethroplasty?
The posterior urethral injury due to pelvic fracture is a challenging problem. Because pelvic fractures are widely varying in severity, direction and mechanism, a wide spectrum of pelvic fracture urethral injuries (PFUIs) is clinically identified. Previously published data indicate that the proposed classifications of PFUIs are neither ideal nor universally acceptable. Moreover, these classific...
متن کاملCon: 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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ژورنال
عنوان ژورنال: International Journal of Research in Medical Sciences
سال: 2020
ISSN: 2320-6012,2320-6071
DOI: 10.18203/2320-6012.ijrms20202558