Long-term outcome of posterior urethral rupture in boys: A comparison of different surgical modalities

Önen, Abdurrahman; Öztürk, Hayrettin; Kaya, Mete; Otcu, Selçuk

doi:10.1016/j.urology.2005.01.039

Cited by 27 publications

(27 citation statements)

References 24 publications

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“…Podesta and colleagues reported that no patients were successfully managed following primary alignment for posterior urethral injuries ( n = 0/10); however, a different study did report urethra patency without need for additional procedures in 45% after realignment (10/22) [1,14]. These results are significantly worse than those achieved with delayed repair.…”

Section: Discussionmentioning

confidence: 99%

Blunt pediatric anterior and posterior urethral trauma: 32-year experience and outcomes

Voelzke

Breyer

McAninch

2012

Journal of Pediatric Urology

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Objective To analyze our experience with delayed repair of pediatric urethral trauma. Materials and methods From 1978 to 2007, 26 boys <18 years old (mean age 15.0) presented for delayed repair of urethral stricture after blunt trauma. Anterior and posterior urethral injuries were separately stratified. Results There were 8 anterior and 18 posterior urethral strictures. All patients presented in a delayed fashion. Mean follow up of the anterior cohort was 2.9 years. All repairs were performed via a ventral onlay buccal graft or anastomotic approach. The mean follow up of the posterior cohort was 1.1 years, and all posterior urethral injuries were repaired via an anastomotic approach. Overall success for anterior stricture disease was 88.9% and for posterior stricture disease was 89.5%. All three urethroplasty failures responded favorably to internal urethrotomy; however, one failed anterior repair and one of the two failed posterior repairs required two internal urethrotomy operations for success. No secondary urethroplasty operations were required and ultimately all patients were voiding per urethra without need for urethral dilation. Conclusion Delayed, definitive repair of pediatric urethral trauma via open urethroplasty has a high success rate.

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Section: Discussionmentioning

confidence: 99%

Blunt pediatric anterior and posterior urethral trauma: 32-year experience and outcomes

Voelzke

Breyer

McAninch

2012

Journal of Pediatric Urology

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“…Several studies have commented on the incidence of ED. Current data indicate that the incidence of impotence after urethral reconstruction ranges from 16.2% to 72% [12]. To identify risk factors for male erectile function after reconstructive surgery, we used the IIEF-5 and SLQQ questionnaires.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of erectile function after urethral reconstruction: a prospective study

Xie¹,

Xu²,

Xu³

et al. 2009

Asian J Androl

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We conducted a prospective study of erectile dysfunction (ED) after urethral reconstructive surgery, using the 5-item International Index of Erectile Function (IIEF-5), the Sexual Life Quality Questionnaire (SLQQ) and the Quality of Life Questionnaire (QoLQ). Between January 2003 and July 2007, 125 male patients with urethral strictures underwent urethroplasty, and pre-and post-surgery erectile function was assessed using these three questionnaires. A formula to predict the probability of ED after urethroplasty was derived. At 3 months postoperatively, there was a significant decrease in IIEF-5 (16.57 ± 7.98) and SLQQ scores (28.71 ± 14.84) compared with pre-operative scores (P < 0.05). However, the IIEF-5 scores rebounded at 6 months post-operatively (17.22 ± 8.41). Logistical regression analysis showed that the location of the urethral stricture, the recurrence of strictures and the choice of surgical technique were predictive of the post-operative occurrence of ED. This study identified the clinical risk factors for ED after urethroplasty. Posterior urethral stricture and end-to-end anastomosis were found to have a strong relationship with erectile function. The logistical model derived in this study may be applied to clinical decision algorithms for patients with urethral strictures.

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“…27 124 The technique may require two urologists to navigate the urethra simultaneously from above and below with multiple flexible or rigid cystoscopes, video monitors, and fluoroscopy. These requirements are best met by a regular urology operating room team once the patient has stabilized in coordination with trauma and orthopedic surgeons, thus the Emergency Department setting is inappropriate for realignment of most PFUI.…”

Section: Guideline Statementsmentioning

confidence: 99%

Urotrauma: AUA Guideline

et al. 2014

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Purpose The authors of this guideline reviewed the urologic trauma literature to guide clinicians in the appropriate methods of evaluation and management of genitourinary injuries. Methods A systematic review of the literature using the MEDLINE® and EMBASE databases (search dates 1/1/90-9/19/12) was conducted to identify peer-reviewed publications relevant to urotrauma. The review yielded an evidence base of 372 studies after application of inclusion/exclusion criteria. These publications were used to inform the statements presented in the guideline as Standards, Recommendations or Options. When sufficient evidence existed, the body of evidence for a particular treatment was assigned a strength rating of A (high), B (moderate) or C (low). In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions.

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Long-term outcome of posterior urethral rupture in boys: A comparison of different surgical modalities

Cited by 27 publications

References 24 publications

Blunt pediatric anterior and posterior urethral trauma: 32-year experience and outcomes

Blunt pediatric anterior and posterior urethral trauma: 32-year experience and outcomes

Evaluation of erectile function after urethral reconstruction: a prospective study

Urotrauma: AUA Guideline

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