Posterior urethral injury in male children: Long-term follow up

Nerli, Rajendra B; Koura, Ashish; Ravish, Indupur R.; Amarkhed, S.S.; Prabha, Vikram; Alur, S.B.

doi:10.1016/j.jpurol.2007.11.002

Cited by 26 publications

(17 citation statements)

References 12 publications

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“…Thirdly, PFUIs are more difficult to repair because the anterior urethra is relatively underdeveloped and less able to stretch. And fourthly, because incontinence and ED are commoner and the prognosis in these areas has to be more guarded until the child is past puberty [113][114][115][116][117][118].…”

Section: Injuries In Childrenmentioning

confidence: 99%

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

Mundy¹,

Andrich²

2011

BJU International

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Section: Injuries In Childrenmentioning

confidence: 99%

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

Mundy¹,

Andrich²

2011

BJU International

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“…The options for managing bladder and posterior urethral injuries are conservative treatment, immediate primary intervention, and intervention after the immediate period (14). However, there is no agreement regarding the standard care of these injuries in the literature (15,16). Eliot et al reported that after primary immediate urethral realignment of 53 patients with posterior urethral injuries 11 (21%) had erectile dysfunction, 2 (3.7%) had urinary incontinence, 36 (68%) had anastomotic strictures, and 13 (24.5%) had significant strictures requiring a repeat procedure in their 11 years of follow-up (17).…”

Section: Discussionmentioning

confidence: 99%

Histopathological effects of mesenchymal stem cells in ratswith bladder and posterior urethral injuries

Demirel¹,

Bıçakçı²,

Rizalar³

et al. 2017

Turk J Med Sci

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There were no significant differences between the control and LMSC groups with respect to fibrosis (P = 0.070) or inflammation (P = 0.048). Fibrosis and inflammation were significantly lower in the IVMSC (P = 0.034 for fibrosis, P = 0.080 for inflammation) and LMSC (P = 0.01 for fibrosis, P = 0.013 for inflammation) groups when compared with the sham group. No significant differences regarding fibrosis and inflammation were observed between the IVMSC and LMSC groups (P = 0.198 for fibrosis, P = 0.248 for inflammation). A significant difference was noted between the sham and LMSC groups concerning VEGF staining intensity (P = 0.017). However, no significant difference was found among the groups with regard to the extent or intensity of CD105 staining (P > 0.05). Conclusion:MSC treatment significantly decreased the development of fibrosis in a uroepithelial injury model.

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“…A previous study reported that 24% of the 18 to 70 years old patients that underwent primary realignment of the urinary tract in Shiraz (south of Iran) experienced postoperative stricture (7). Furthermore, in another study (50%) of the children that underwent primary realignment of the urinary tract in India required additional urethrotomy for managing the stricture (8). Moreover, it was reported that urethral stricture developed in 16.6% of the children that underwent primary realignment of the urinary tract in Turkey.…”

Section: Discussionmentioning

confidence: 99%

Complications of Primary Realignment of Posterior Urethral Disruption After Pelvic Trauma

Haidari¹,

Azargoon²,

Mahmoudvand³

et al. 2014

Trauma Mon

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Background:There are two fundamental selections for the management of traumatic posterior urethral injury, delayed repair or early primary realignment.Objectives:The aim of this study was to assess the complications of primary realignment of posterior urethral disruption.Patients and Methods:This retrospective descriptive cross-sectional study was done at the Shohada-ye Ashayer University Hospital in Khorramabad. All male patients admitted to the hospital with posterior urethral disruption and had undergone primary realignment of the urinary tract between 2003 and 2010 were included. Primary realignment of the urinary tract was done up to 24 hours after injury. The patients underwent open cystostomy and then a nelaton catheter was inserted from the bladder neck to the distal urethra anterogradely. Upon voiding from the catheter, another nelaton catheter was fixed to it and was pulled into the bladder. The catheter was removed if the urethra was intact in the retrograde urethrography after three weeks. The patients were followed for six months. The data were presented as mean and percentage.Results:A total of 24 patients were evaluated while seven, eleven, four, and two patients were aged under 20, 20 to 39, 40 to 59, and over 60 years old, respectively. Thirteen patients (54.16%) had urinary tract stenosis after the primary realignment. Erectile dysfunction was reported in three of them. Urinary incontinence did not occur in patients without stenosis.Conclusions:Early primary realignment of posterior urethral disruption had significant complications. In this study we did not have a control group, thus we could not compare the complications of delayed repair and early primary realignment of the posterior urethra. We recommend further case-control studies with larger sample size.

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Posterior urethral injury in male children: Long-term follow up

Cited by 26 publications

References 12 publications

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

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

Histopathological effects of mesenchymal stem cells in ratswith bladder and posterior urethral injuries

Complications of Primary Realignment of Posterior Urethral Disruption After Pelvic Trauma

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