Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Primary endoscopic realignment following posterior urethral disruption.

J K Cohen1, G Berg, G H Carl

  • 1Division of Urology, Allegheny Campus Medical College of Pennsylvania, Pittsburgh.

The Journal of Urology
|December 1, 1991
PubMed
Summary

Primary endoscopic realignment of complete posterior urethral disruption after pelvic fracture offers excellent outcomes. This minimally invasive approach in 5 patients resulted in 4 achieving full continence, reducing patient morbidity.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evidence for dose-dependent effects on plant growth by Stenotrophomonas strains from different origins.

Journal of applied microbiology·2003
Same author

Kinetics of in vitro lipolysis of human very low-density lipoprotein by lipoprotein lipase.

Nutrition, metabolism, and cardiovascular diseases : NMCD·2002
Same author

Spontaneous secretion of interleukin-4, interleukin-10 and interferon-gamma by first trimester decidual mononuclear cells.

American journal of reproductive immunology (New York, N.Y. : 1989)·2002
Same author

Impact on lipoprotein profile after long-term testosterone replacement in hypogonadal men.

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme·2002
Same author

Radioiodine ablation and therapy in differentiated thyroid cancer under stimulation with recombinant human thyroid-stimulating hormone.

Journal of endocrinological investigation·2002
Same author

Evaluation of potential biocontrol rhizobacteria from different host plants of Verticillium dahliae Kleb.

Journal of applied microbiology·2002

Area of Science:

  • Urology
  • Trauma Surgery
  • Endourology

Background:

  • Complete posterior urethral disruption is a severe complication of pelvic fractures.
  • Traditional management often involves prolonged catheterization or complex surgical reconstruction, leading to significant morbidity.

Observation:

  • This study reports on 5 cases of complete posterior urethral disruption managed with primary endoscopic realignment.
  • The procedure was performed 7 to 19 days post-injury using a combination of flexible and rigid endoscopes.
  • A guide wire facilitated passage through the disrupted urethra, followed by a Councill catheter for 5-10 weeks.

Findings:

  • Excellent functional outcomes were achieved in 4 out of 5 patients, with 4 regaining urinary continence.
  • Two of the continent patients also regained potency.

Related Experiment Videos

  • The technique demonstrated a significant reduction in patient morbidity compared to traditional methods.

    • Implications:

    • Primary endoscopic realignment is a viable and effective treatment for complete posterior urethral disruption associated with pelvic fractures.
    • This approach minimizes patient morbidity while preserving options for formal urethroplasty if needed later.
    • It offers a less invasive alternative with promising functional results for continence and potency.