Transurethral catheterization under visual control in patients with urethral injury

Gross, Andreas J.; Seseke, F.; Kugler, A.; Hummel, G.; Ringert, R.‐H.

doi:10.1046/j.1464-410x.1998.00732.x

Cited by 3 publications

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References 4 publications

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“…Pelvic fracture urethral injury (PFUI) management is a source of significant debate. Primary surgical repair ( 1 - 4 ), delayed primary repair ( 5 ), primary open realignment (POR) ( 6 - 10 ), primary endoscopic realignment (PER) ( 11 - 19 ), suprapubic cystostomy with delayed endoscopic management ( 20 - 22 ) or delayed urethroplasty (DU) ( 23 - 28 ) all have their advocates. We present a contemporary review of PFUI analysing all literature since 1757 with particular reference to the long-term incidence of recurrent strictures (RS), erectile dysfunction (ED) and urinary incontinence (UI).…”

Section: Introductionmentioning

confidence: 99%

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

Barratt

Bernard

Mundy

et al. 2018

Transl. Androl. Urol.

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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.

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Section: Introductionmentioning

confidence: 99%

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

Barratt

Bernard

Mundy

et al. 2018

Transl. Androl. Urol.

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Der Einsatz von Gleitmitteln in der Urologie

2005

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Lubricants are used for catheterization and/or endoscopic maneuvers. "The lubricant" should guarantee sufficient lubrification of the urinary tract, good visualization during endoscopy, and excellent local anesthesia. Additionally, asepsis or reliable control of the local bacterial flora of the urethra should be ensured. Modern lubricants fulfil these recommendations; in addition, they provide therapeutic opportunities for local therapy, for instance, of non-gonococcal urethritis. The latest results show that there are a few lubricants with antimicrobiotic influence on MRSA (methicillin-resistant Staphylococcus aureus), which is of great importance because of the steady increase in MRSA-dependent infections.

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Literature Watch

1999

Journal of Endourology

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HS. Paediatric ureteric calculi: efficacy of primary in situ extracorporeal shock wave lithotripsy. Br J Urol 1998;82:90-96. Cass AS, Grine WB, Jenkins JM, Jordan WR, Mobley TB, Myers DA. The incidence of lower-pole nephrolithiasis-increasing or not? Br J Urol 1998;82:12-15. Chow GK, Streem SB. Contemporary urological intervention for cystinuric patients: immediate and long-term impact and implications. J Urol 1998;160:341-344; discussion 344-345. Clayman RV. Extracorporeal shock wave lithotripsy for lower calyceal stones: can clearance be predicted? J Urol 1998;160:629. Evan AP, Willis LR, Lingeman JE, McAteer JA. Renal trauma and the risk of long-term complications in shock wave lithotripsy [editorial] [review] [54 refs].

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Transurethral catheterization under visual control in patients with urethral injury

Cited by 3 publications

References 4 publications

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

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

Der Einsatz von Gleitmitteln in der Urologie

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