Symphysiotomy or Transpubic Approach to Traumatic Strictures
of the Posterior Urethra

Chatelain, C; Guillou, M. Le; Petit, M; Jardin, A; Kuss, R

doi:10.1159/000455606

Cited by 4 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early stricture recurrence is due to technical failure or ischaemia, with recurrence rates higher in patients with ED ( 162 , 228 , 245 , 259 - 269 ). New onset ED occurs in @13% (0–72%) ( 4 , 27 , 28 , 61 , 92 , 99 , 104 , 113 , 121 , 133 , 134 , 160 , 212 , 225 , 228 , 234 , 237 , 238 , 240 , 242 , 246 , 251 , 252 , 253 , 255 ) and UI in @7% (0–20%) ( 164 , 233 , 241 , 250 , 257 , 258 , 261 - 265 , 269 ) ( Table 7 ).…”

Section: Primary Spc Insertion and Dumentioning

confidence: 99%

Pelvic fracture urethral injury in males—mechanisms of injury, management options and outcomes

Barratt

Bernard

Mundy

et al. 2018

Transl. Androl. Urol.

View full text Add to dashboard Cite

Pelvic fracture urethral injury (PFUI) management in male adults and children is controversial. The jury is still out on the best way to manage these injuries in the short and long-term to minimise complications and optimise outcomes. There is also little in the urological literature about pelvic fractures themselves, their causes, grading systems, associated injuries and the mechanism of PFUI. A review of pelvic fracture and male PFUI literature since 1757 was performed to determine pelvic fracture classification, associated injuries and, PFUI classification and management. The outcomes of; suprapubic catheter (SPC) insertion alone, primary open surgical repair (POSR), delayed primary open surgical repair (DPOSR), primary open realignment (POR), primary endoscopic realignment (PER), delayed endoscopic treatment (DET) and delayed urethroplasty (DU) in male adults and children in all major series have been reviewed and collated for rates of restricture (RS), erectile dysfunction (ED) and urinary incontinence (UI). For SPC, POSR, DPOSR, POR, PER, DET and DU; (I) mean RS rate was 97.9%, 53.9%, 18%, 58.3%, 62.0%, 80.2%, 14.4%; (II) mean ED rate was 25.6%, 22.5%, 71%, 37.2%, 23.6%, 31.9%, 12.7%; (III) mean UI rate was 6.7%, 13.6%, 0%, 14.5%, 4.1%, 4.1%, 6.8%; (IV) mean FU in months was 46.3, 29.4, 12, 61, 31.4, 31.8, 54.9. For males with PFUI restricture and new onset ED is lowest following DU whilst UI is lowest following DPOSR. On balance DU offers the best overall outcomes and should be the treatment of choice for PFUI.

show abstract