The incidence of urethral injuries in reports from Vietnam indicates a moderate variability. Salvatierra and colleagues reported 14 urethral injuries in 252 urological war injuries for an incidence of 5.6%, whereas Selikowitz reported 25 urethral injuries in 250 urological injuries for an incidence of approximately 10%. (Actually, Selikowitz’s incidence would be higher if he had included anteri...

Strangulation of the penis caused by a coil of hair is uncommon. It can produce varying grades of injury that may result in a urethral fistula or even gangrene of the glans. Therefore it is important to be aware of this condition so that the strangulating hair can be removed and treatment instituted. The authors describe 15 boys who presented with hair coil strangulation of the penis. Their age...

BACKGROUND/PURPOSE Serious injuries to the urinary tract may occur during the repair of an anorectal malformation, especially in boys. This review of a large series of patients characterizes factors that may either lead to, or prevent, those injuries. METHODS A retrospective review of 1,003 boys with anorectal malformations was performed. RESULTS A total of 129 injuries in 1,003 patients we...

Introduction: Urethral erosion accounts for one of the most dreaded complications after implantations of artificial sphincters. We report two cases involving urethral diverticula, as a result of prosthetic removal caused by urethral erosion. Case Report: Case A: BG, patient aged 72, affected by urinary incontinence post-radical prostatectomy. In 1999 the patient had an implant of artificial sph...

The pudendal nerve innervates the external urethral sphincter (EUS) and is among the tissues injured during childbirth, which may lead to symptoms of stress urinary incontinence (SUI). To understand the mechanisms of injury and repair, urethral leak-point pressure (LPP) was measured 4 days, 2 wk, or 6 wk after bilateral pudendal nerve crush. Morphometric changes in the distal nerve and EUS were...

Background: Bladder and urethral injuries associated with pelvic fractures are uncommon and are missed at initial assessment in up to 23% of cases. Missed lower urinary tract injuries have a significant impact on patient morbidity, if not identified early. This study aims to associate mechanisms of traumatic pelvic ring fractures with bladder and/or urethral injuries to determine factors that m...

BACKGROUND There are presently several options for the management of posterior urethral disruption. However, these options remain controversial for several reasons. Thus, this medical issue has been continuously investigated. METHODS From 1991 to 2001, 22 patients with complete posterior urethral disruption out of 720 urethral injury cases were retrospectively reviewed using strict criteria. ...

BACKGROUND Urinary tract stones are increasing in our societies. Similar to the finding in developed countries, majority of our patients have upper urinary tract stones. Urethral stone is an uncommon cause of acute urinary retention. It presents with an emergency management scenario which is compounded by lack of endoscopic facilities in our hospitals. We present the management of urethral ston...

Non-traumatic, spontaneous urinary bladder rupture is a rare complication of urethral stricture. Furthermore, its symptoms are often nonspecific, and misdiagnosis is common. The authors experienced a case of urethral stricture with spontaneous bladder rupture and bilateral hydronephrosis, mimicking obstructive uropathy attributed to cancer metastasis. A 55-year-old woman was admitted with abdom...