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 ...

The management of urinary tract dysfunction is crucial for the health and well-being of people with spinal cord injury. Devices, specifically catheters, play an important role in the daily regime of bladder management for most people with spinal cord injury. However, the high incidence of complications associated with the use of catheters, and the fact that the spinal segments involved in lower...

OBJECTIVES To correlate clinical and urodynamic findings with MRI in patients with spinal cord injury and detrusor-sphincter dyssynergia who were consecutively treated with transperineal injections of botulinum-A toxin (BTX-A) under EMG control. METHODS Six patients with spinal cord injury and upper motor neuron bladder dysfunction associated with detrusor-sphincter dyssynergia were prospecti...

Objective: To explore the reason of penile surgery that result in urethral injury. Methods: To review the penile surgery (circumcision, penile curvature correction) that result in urethrocutaneous fistula from March 2009 to May 2014. Six cases resulted from circumcision, and three cases resulted from penile curvature correction. Results: All patients were lack of corpus spongiosum penis, and th...

Poorly managed traumatic bulbomembranous urethral strictures could have a devastating effect on the quality of life. Until recently this problem was poorly managed in Sri Lanka, condemning some patients to lifelong suffering with unsettled lower urinary tract obstructive symptoms and infective complications. The commonest primary injury is pelvic fracture. A complete urethral rupture associated...

Neural control of the pelvic organs is one of the most intriguing in the body involving both autonomic and somatic components organized in the thoraco-lumbar (sympathetic), lumbosacral (somatic), and sacral (parasympathetic) spinal cord. Loss of supraspinal descending control and plasticity-mediated alterations at the level of the spinal cord, result in loss of voluntary control and in abnormal...

OBJECTIVES Urethral injury with partial or complete disruption of urethral integrity can lead to voiding problems and serious infections. We report a new management technique involving immediate endoscopic realignment with drainage via peel-away sheath for post-traumatic bulbar urethral rupture. METHODS Thirteen patients presenting with post-traumatic bulbar urethral rupture between July 2010...

BACKGROUND Secondary urethral stone although rare, commonly arises from the kidneys, bladder or are seen in patients with urethral stricture. These stones are either found in the posterior or anterior urethra and do result in acute urinary retention. We report urethral obstruction from dislodged bladder diverticulum stones. This to our knowledge is the first report from Nigeria and in English l...