Wounds of the Posterior Urethra and Prostate Introduction and Classification of Urethral Injuries
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چکیده
The gravity of “deep” urethral wounds, especially those caused by gunshot, was recognized as far back as the American Civil War. Fatalities were common and survivors were routinely afflicted with strictures and or fistulae. Since then, although significant overall progress has evolved in the techniques of diagnosis and management, these wounds still result in severe local and associated organ injuries and extensive shortand long-term morbidity. The overall management of these wounds continues to challenge and tax the expertise and ingenuity of the attending urologist and surgeons. This challenge is well summarized in the following quotation from Ormond S. Culp in the official history of the Medical Department of the US Army in World War II:
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