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Arab J Urol. 2015 Mar;13(1):57-9. doi: 10.1016/j.aju.2015.01.003. Epub 2015 Feb 23.

Unsuccessful outcomes after posterior urethroplasty.

Arab journal of urology

Oliver Engel, Margit Fisch

Affiliations

  1. University Medical Center Hamburg-Eppendorf, Germany.

PMID: 26019980 PMCID: PMC4435515 DOI: 10.1016/j.aju.2015.01.003

Abstract

Posterior urethroplasty is the most common strategy for the treatment of post-traumatic urethral injuries. Especially in younger patients, post-traumatic injuries are a common reason for urethral strictures caused by road traffic accidents, with pelvic fracture or direct trauma to the perineum. In many cases early endoscopic realignment is the first attempt to restore the junction between proximal and distal urethra, but in some cases primary realignment is not possible or not enough to treat the urethral injury. In these cases suprapubic cystostomy alone and delayed repair by stricture excision and posterior urethroplasty is an alternative procedure to minimise the risk of stricture recurrence.

Keywords: DVIU, direct-vision internal urethrotomy; PU, posterior urethroplasty; Pelvic fracture; Post-traumatic stricture; Posterior urethroplasty; Urethral injury

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