Early fluoroscopic realignment for traumatic urethral injuries

Londergan, Thomas A.; Gundersen, Lincoln H.; Every, Marvin J. Van

doi:10.1016/s0090-4295(96)00429-3

Cited by 32 publications

(15 citation statements)

References 11 publications

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“…This was proposed as a superior alternative to the Johanson/Moorhouse/Mitchell 'minimalist' approach because it was said to reduce the requirement for DU and to be a better approach then oPR because it was much less traumatic. Since then several different ways of performing ePR have been described [33][34][35][36][37] but the theory is the same: that by putting in a urethral catheter at an early stage after the injury the urethra is 'realigned' as a result of which the incidence of subsequent stenosis is reduced and the management of any stenosis that does develop is easier.…”

Section: Fig 8 Augmented Bbasuturing the Two Ends Of The Urethra Amentioning

confidence: 99%

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

Mundy¹,

Andrich²

2011

BJU International

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Section: Fig 8 Augmented Bbasuturing the Two Ends Of The Urethra Amentioning

confidence: 99%

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

Mundy¹,

Andrich²

2011

BJU International

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“…The optimal timing for early realignment of the posterior urethra is not known 11 . We believe that 10–14 days following the injury probably affords the best chance for success.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of early primary realignment in children with posterior urethral injury

2005

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Aim: The aim of this retrospective study was to compare the results of delayed repair and early primary realignments in patients with posterior urethral injury. Methods : From 1990: From to 2003 children were admitted to the Medical Faculty of Uluday University, Bursa, Turkey, for posterior urethral injuries. Traffic accidents were the most common cause of injury (n = 17). Twelve patients (60%) who were referred early (1-10 days) underwent early realignment over a urethral tube. A total of eight patients (40%) underwent delayed repair using transpubic route. In these patients, surgical repair of the urethra was performed 5-6 months later. Results: Of the 12 patients who underwent early urethral realignment, six required at least one visual internal urethrotomy following the removal of the urethral catheter. Urethral stricture developed in two of 12 patients (16.6%) who underwent early urethral realignment. Of the eight patients who underwent delayed repair, six required at least one visual internal urethrotomy following removal of the urethral catheter. Urethral stricture developed in three of eight patients (37.5%) who underwent delayed repair. This difference was statistically significant (P < 0.05). Conclusion:The urethral stricture in patients who underwent early primary realignment was less developed than the stricture that developed in those who underwent delayed management. According to these results we recommend early primary realignment in children with posterior urethral injury.

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“…Porter et al .,[16] used magnetic urethral catheters both retrogradely and antegradely to achieve alignment whereas Londergan et al .,[17] used multiplanar fluoroscopy using the Seldinger technique.…”

Section: Minimally Invasive Urethral Realignmentmentioning

confidence: 99%

Primary urethral realignment should be the preferred option for the initial management of posterior urethral injuries

Shrinivas¹,

Dubey²

2010

Indian J Urol

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The initial management of posterior urethral injuries is controversial. Options of management include immediate surgical realignment, early realignment using minimally invasive techniques or simple suprapubic catheter (SPC) placement followed by delayed urethroplasty. The latter method has been preferred by most urologists but the last couple of decades have seen increasing reports of early urethral realignment which have provided better if not similar results as SPC placement. In this article a detailed analysis of studies involving primary realignment has been presented to reinforce the argument in favor of this approach.

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Early fluoroscopic realignment for traumatic urethral injuries

Cited by 32 publications

References 11 publications

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

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

The effectiveness of early primary realignment in children with posterior urethral injury

Primary urethral realignment should be the preferred option for the initial management of posterior urethral injuries

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