Rupture of the Posterior Urethra

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

“…Then, in 1972, Morehouse et al . [27] drew attention to the poor results of both these approaches and pointed out that, as a result,…”

“…Secondly, although it is indeed less traumatic than oPR there is no reason to suppose that the results should be any better as the end result is the same. Thirdly, it has already been noted that PR makes straddle injuries of the bulbar urethra worse than SPC alone [15,16] and that the results of oPR for PFUIs left a lot to be desired [27]. Fourthly, as discussed in Part I [1], it has been shown experimentally that a partial injury may well heal whether or not it is stented with a catheter and a complete injury will never heal with a urethral catheter alone, in other words without suturing the [19].…”

Gracilis Muscular Flap for Large Urethral Defect

“…Traumatic urethral injury is usually treated conservatively with an indwelling urethral catheter [1]. However, after abdominoperineal resection of the rectum, healing of the prostatic urethra is apparently more difficult because there is no supporting tissue behind the urethra.…”

Urethral Injuries in Lagos

“…The nature of associated injuries frequently pre cludes a time-consuming definitive urethral recon structive procedure. Finally, the results have not been too impressive (Morehouse et al, 1972). Most urologists have preferred not to resect the pubis or separate the symphysis to improve exposure when there is an already fractured pelvis, and elect to approximate the severed ends of the urethra over a traction catheter or with apical prostatic suture placed through the perineum (Waterhouse and Gross, 1969;DeWeerd, 1959;Kaiser and Farrow, 1965).…”