Straddle injuries to the bulbar urethra: management and outcome in 53 patients

Abstract

Objective: To describe our experience with blunt injuries to the bulbar urethra and their late sequelae to identify factors that may affect patient outcome. Materials and Methods: A retrospective study was performed on 53 male patients who presented, between January 2001 Results:Conclusions:strictures that develop after straddle injury to the bulbar urethra.

Urethral trauma. Part II: Types of injury and their management

“…Because these are crush injuries they are best managed by SPC to prevent extravasation [1,15,16]. The urge to explore the perineum should be resisted unless there is a more than usually large haematoma, or a penetrating wound, or if urinary extravasation has occurred in which case the wound needs to be drained.…”

“…The urge to explore the perineum should be resisted unless there is a more than usually large haematoma, or a penetrating wound, or if urinary extravasation has occurred in which case the wound needs to be drained. About 60% of injuries are incomplete and most of these (90%) will heal without stenosis (terminology was discussed in part I of this review [1]) with SPC alone [15,16]. With attempted urethral 'realignment' over a urethral catheter, the rate of stenosis jumps from ≈ 10% to ≈ 65% [15,16].…”

“…About 60% of injuries are incomplete and most of these (90%) will heal without stenosis (terminology was discussed in part I of this review [1]) with SPC alone [15,16]. With attempted urethral 'realignment' over a urethral catheter, the rate of stenosis jumps from ≈ 10% to ≈ 65% [15,16]. About 40% are complete urethral ruptures and although 75% will develop stenoses when managed by a SPC alone that figure reaches almost 100% with attempted realignment in addition [15,16].…”

“…With attempted urethral 'realignment' over a urethral catheter, the rate of stenosis jumps from ≈ 10% to ≈ 65% [15,16]. About 40% are complete urethral ruptures and although 75% will develop stenoses when managed by a SPC alone that figure reaches almost 100% with attempted realignment in addition [15,16].…”

Biomatrices in Urethral Reconstruction

“…Various urethral disorders, such as hypospadias, stricture, require surgical reconstruction [1][2][3]. The most commonly used sources of graft were penile skin or buccal mucosa [4][5][6][7].…”