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[Urethral rupture--primary repair and reconstruction]
O Ennemoser1, K Colleselli, A Hobisch
1Universitäts-Klinik für Urologie, Innsbruck.
Der Urologe. Ausg. A
|September 1, 1992
Summary
Successful posterior urethral reconstruction relies on prompt primary care for trauma-induced strictures. This study details a surgical approach for traumatic posterior urethral rupture, achieving good functional outcomes in most patients.
Area of Science:
- Urology
- Trauma Surgery
- Reconstructive Surgery
Background:
- Posterior urethral strictures often result from trauma.
- Successful reconstruction hinges on effective primary management of the injury.
Purpose of the Study:
- To evaluate a surgical approach for traumatic posterior urethral rupture.
- To assess the long-term functional outcomes of bulbo-prostatic surgery.
Main Methods:
- Primary care involved suprapubic fistula, drainage, urethral repositioning, and pelvic stabilization.
- Bulbo-prostatic surgery was performed on 27 patients between 1978 and 1990.
- An operative approach via the perineal body was developed based on anatomical studies.
Main Results:
- 18 patients were followed up post-surgery.
- Only 4 out of 18 patients had flow rates below 15 ml/s.
- Retrograde urethrograms and micturition cystograms indicated favorable results.
Conclusions:
- The described surgical technique, combined with appropriate primary care, yields good functional outcomes for traumatic posterior urethral strictures.
- Early and comprehensive management is crucial for successful urethral reconstruction.