Related Experiment Video
Updated: Jul 13, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Primary endourologic realignment of complete posterior urethral disruption
C E Healy1, D S Leonard, R Cahill
1St Vincent's University Hospital, Elm Park, Dublin 4. claraghhealy@eircom.net
Irish Medical Journal
|August 3, 2007
Summary
Early endoscopic realignment for posterior urethral disruption offers good continence rates. This technique minimizes complications, though some patients may still experience impotence or strictures, necessitating further evaluation.
Area of Science:
- Urology
- Surgical Innovation
- Trauma Management
Background:
- Management of posterior urethral disruption remains controversial.
- The debate centers on whether primary realignment increases incontinence and impotence versus delayed reconstruction.
Purpose of the Study:
- To evaluate the outcomes of early endoscopic realignment for complete posterior urethral disruption.
- To assess the incidence of incontinence, impotence, and stricture formation post-operatively.
Main Methods:
- Retrospective review of ten male patients with complete posterior urethral disruption undergoing early endoscopic realignment (1994-2002).
- Procedures included endoscopic retrograde realignment, endoscopic rendezvous realignment, and delayed reconstruction.
- Post-operative evaluation for incontinence, impotence, and strictures.
Main Results:
- All ten patients achieved urinary continence at a mean follow-up of 41.4 months.
- Four patients (40%) experienced post-operative impotence.
- Four patients (40%) developed urethral strictures.
Conclusions:
- Early endoscopic retrograde realignment is a simple, atraumatic technique for posterior urethral disruption.
- A rendezvous approach can be attempted if initial realignment fails, minimizing manipulation of periprostatic tissues.
- While effective for continence, potential for impotence and strictures requires consideration.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...