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Early Urethroscopic Realignment of Ruptured Bulbous Urethra

Other Title
외상성 구부요도파열에 대한 조기 요도경하 요도정렬술
Authors
손, 정호; 김, 세중; 김, 영수
Citation
Taehan Pinyogikwa Hakhoe chi, 39(2):153-156, 1998
Journal Title
Taehan Pinyogikwa Hakhoe chi; The Korean journal of urology; 대한비뇨기과학회지
ISSN
0494-4747
Abstract
Purpose : To evaluate the efficacy of early urethroscopic realignment compared to

initial suprapubic cystostomy in the management of bulbous urethral rupture caused by straddle injury.

Materials and Methods: From May 1995 to June 1996, early urethroscopic realignment

was attempted on 16 consecutive patients with bulbous urethral rupture caused by

straddle injury. These results were compared with those of 10 consecutive such patients

who were managed initially with suprapubic cystostomy between July 1994 and April

1995.

Results : Thirteen of the 16 patients(81%), including 1 with a complete rupture, had

successful early urethroscopic realignment of the urethra and catheter placement. Ten of these 13 patients(77%), including 9 of 12 partial ruptures and 1 of 1 complete rupture, did not develop stricture after catheter removal. Of the 6 patients with partial rupture who were managed with initial suprapubic cystostomy, 2(33%) had no secondary stricture. All 4 patients with complete rupture managed with initial suprapubic cystostomy alone had resulting stricture.

Conclusions: Early urethroscopic realignment of the ruptured urethra is a simple, safe,

rapid, and nontraumatic technique that can be done with sedation and intraurethral

topical anesthesia, It reduces the incidence of secondary urethral stricture compared with initial suprapubic cystostomy alone. Therefore, it could be a valuable alternative in the management of bulbous urethral rupture caused by straddle injury.
Keywords
Urethroscopic realignmentUrethral ruptureBulbous urethra
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Journal Papers > School of Medicine / Graduate School of Medicine > Urology
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