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Related Experiment Videos

Bladder flap posterior urethroplasty (Faseeh's technique).

Qazi Faseehuddin1, Shahzad Ali

  • 1Department of Urology, Jinnah Postgraduate Medical Centre, Karachi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|May 6, 2008
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...

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Posterior urethral distraction defects, often linked to pelvic fractures from accidents, pose treatment challenges. A novel bladder flap technique shows encouraging results for complex cases where standard repair is difficult.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Posterior urethral distraction defects are frequently associated with pelvic fractures, often resulting from road traffic accidents and falls.
  • Current treatment involves initial suprapubic cystostomy followed by delayed end-to-end perineal urethroplasty.
  • The length of the urethral defect and pelvic anatomy distortion can make standard end-to-end anastomosis challenging.

Observation:

  • The length of the posterior urethral distraction defect is a critical factor influencing treatment outcomes.
  • Gaps exceeding 5 cm between urethral stumps, combined with pelvic distortion, can preclude direct end-to-end repair.
  • An attached bladder flap technique was employed to address these complex anatomical challenges.

Findings:

  • The attached bladder flap technique demonstrated encouraging results in managing long-gap posterior urethral distraction defects.

Related Experiment Videos

  • Post-procedure evaluations using Uroflowmetry (UFM), micturating cystourethrogram, and urethroscopy support the efficacy of this new approach.
  • This technique offers a viable solution for cases where traditional urethroplasty is not feasible.

    • Implications:

    • This innovative bladder flap technique may improve outcomes for patients with severe posterior urethral distraction defects.
    • Further evaluation of this method is warranted to establish its role in reconstructive urology.
    • The findings suggest a potential advancement in surgical management for complex urethral injuries.