Pro: endoscopic realignment for pelvic fracture urethral injuries

نویسندگان

  • Daniel M. Stein
  • Richard A. Santucci
چکیده

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 along, conclude that there is a benefit averaging at least 35% in favor of realignment. Furthermore, realignment may result in easier subsequent urethroplasty and possibly shorter stenoses.

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منابع مشابه

Re: Outcomes of endoscopic realignment of pelvic fracture associated urethral injuries at a level 1 trauma center: L. S. Leddy, A. J. Vanni, H. Wessells and B. B. Voelzke J Urol 2012; 188: 174-178.

This paper is about the success of early endoscopic (retrorgrade or retrograde-antegrade combined) realignment of pelvic fracture associated urethral injury after blunt pelvic trauma As known, immediate management of pelvic fracture associated urethral injury is to place a suprapubic catheter to provide urinary drainage. Thereafter, 2 alternative management approaches are available. The first o...

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Long-Term Outcome of Primary Endoscopic Realignment for Bulbous Urethral Injuries: Risk Factors of Urethral Stricture

PURPOSE Although endoscopic realignment has been accepted as a standard treatment for urethral injuries, the long-term follow-up data on this procedure are not sufficient. We report the long-term outcome of primary endoscopic realignment in bulbous urethral injuries. METHODS Patients with bulbous urethral injuries were treated by primary endoscopic realignment between 1991 and 2005. The opera...

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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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The 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 ...

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Con: 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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عنوان ژورنال:

دوره 4  شماره 

صفحات  -

تاریخ انتشار 2015