Treatment of Obliterated Membranous and Bulbous Urethras by Direct Vision Internal Urethrotomy

McCoy, Gregory B.; Barry, John M.; Lieberman, Stephen F.; Pearse, Harper D.; Wicklund, Roger

doi:10.1097/00005373-198708000-00006

Cited by 21 publications

(3 citation statements)

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“…In patients who underwent optic internal urethrotomy, operation-linked urinary incontinence and impotence is infrequent. 25 Three months after optic internal urethrotomy, peak flow rate is above 10 ml/sec. condition, frequency of postoperative urethral dilatation, as well as the surgeon's preference and experience all have to be taken into consideration.…”

Section: Discussionmentioning

confidence: 99%

Transrectal Ultrasound-Assisted Optic Internal Urethrotomy for Management of Complete Obliteration of Posterior Urethra and Bladder Neck*

Chang¹,

Kuo²,

Hsu³

1992

Journal of Endourology

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The management of posterior urethral obliteration secondary to urethral disruption associated with pelvic fracture has been one of the greatest challenges to a urologist. Although different surgical procedures are available, a recent prevailing notion has been that if feasible, any completely obliterated urethra may be tried out with an optic urethrotomy to regain the alignment.A decisive incision by the cold knife over the site of urethral obliteration into the urinary bladder could be guided precisely by linear transrectal ultrasound used concomitantly with an optic urethrotomy. In a period of 2 years, transrectal ultrasound-guided optic urethrotomy was conducted successfully in five patients with traumatic complete posterior urethral obliteration and two with complete bladder neck obstruction. Although as many as six subsequent optic urethrotomies have been required for extremely long segment obliterations, there has been no impotence or, urinary incontinence over a period of 12 to 30 months. Optic urethrotomy proved to be a reasonable option for the management of posterior urethral obliteration. The application of transrectal ultrasound during the endoscopie procedure is a convenient adjunct, promoting an uneventful and successful optic internal urethrotomy for the treatment of urethral obliteration.

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Section: Discussionmentioning

confidence: 99%

Transrectal Ultrasound-Assisted Optic Internal Urethrotomy for Management of Complete Obliteration of Posterior Urethra and Bladder Neck*

Chang¹,

Kuo²,

Hsu³

1992

Journal of Endourology

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“…A suprapubic cystostomy is performed at time of PFUI and then any subsequent stricture is managed by direct visual internal urethrotomy (DVIU), laser urethrotomy or "core through" and "cut to the light" techniques whereby the proximal end of the PFUI is illuminated via suprapubic tract cystoscopy light and an antegrade stiff guidewire is passed to guide a second operator to perform DVIU from the urethral end (51)(52)(53)(54). This technique has been reported by few authors but is mostly utilised by general urologists.…”

Section: Delayed Endoscopic Stricture Management After Primary Spc Insertionmentioning

confidence: 99%

Current management of male urethral stricture disease

Perera

2020

Sri Lanka J. Urology

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“…Als Nachteil der endoskopischen Methoden sind die Notwendigkeit kurzfristiger Kontrolluntersuchungen und die z.T. erforderlichen Folgeeingriffe wie Ballondilatationen zu nennen (4,11,12,22).…”

Section: Diskussionunclassified

Obstruktive Uropathie mit Todesfolge - seltene Komplikation einer kindlichen Harnröhrenverletzung

George¹,

Kind²

1994

Aktuel Urol

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Treatment of Obliterated Membranous and Bulbous Urethras by Direct Vision Internal Urethrotomy

Cited by 21 publications

References 0 publications

Transrectal Ultrasound-Assisted Optic Internal Urethrotomy for Management of Complete Obliteration of Posterior Urethra and Bladder Neck*

Transrectal Ultrasound-Assisted Optic Internal Urethrotomy for Management of Complete Obliteration of Posterior Urethra and Bladder Neck*

Current management of male urethral stricture disease

Obstruktive Uropathie mit Todesfolge - seltene Komplikation einer kindlichen Harnröhrenverletzung

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