Unsuccessful outcomes after posterior urethroplasty

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Unsuccessful outcomes after posterior urethroplasty

Posterior urethroplasty is the most common strategy for the treatment of post-traumatic urethral injuries. Especially in younger patients, post-traumatic injuries are a common reason for urethral strictures caused by road traffic accidents, with pelvic fracture or direct trauma to the perineum. In many cases early endoscopic realignment is the first attempt to restore the junction between proxi...

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Evaluation of the outcomes after posterior urethroplasty

Posterior urethral injury is a clinically significant complication of pelvic fractures. The management is complicated by the associated organ injuries, distortion of the pelvic anatomy and the ensuing fibrosis that occurs with urethral injury. We report a review of the outcomes after posterior urethroplasty in the context of pelvic fracture urethral injury.

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Optimising the outcome after anastomotic posterior urethroplasty

OBJECTIVES To develop a plan that would optimise the outcome after an anastomotic repair of a pelvic fracture urethral injury (PFUI). METHODS Data on the delayed repair of PFUI from reports in English were critically reviewed. The search criteria included reports by high-volume surgeons and those from tertiary centres of reconstructive urethral surgery. RESULTS The delayed repair of a PFUI ...

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The mechanism of continence after posterior urethroplasty

The standard of care after a pelvic fracture urethral injury is a repair via a one-stage anastomotic posterior urethroplasty using a step-wise perineal approach. The initial injury, immediate postoperative management, and surgical repair can all affect urinary continence in these patients. Proximal continence mechanisms, particularly the bladder neck, are particularly important in maintaining u...

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Delayed Single Stage Perineal Posterior Urethroplasty.

OBJECTIVE To determine the delayed single stage perineal posterior urethroplasty for treatment of posterior urethral stricture/distraction defect. STUDY DESIGN Descriptive case series. PLACE AND DURATION OF STUDY Department of Urology, Jinnah Postgraduate Medical Centre, Karachi, from January 2009 to December 2011. METHODOLOGY Patients were selected for delayed single stage perineal poste...

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ژورنال

عنوان ژورنال: Arab Journal of Urology

سال: 2015

ISSN: 2090-598X

DOI: 10.1016/j.aju.2015.01.003