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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary 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...
Urethra01:16

Urethra

The urethra is a hollowed tubular organ through which urine is expelled from the body. This structure extends from the bladder to the external opening, allowing urine to be released.
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male urethra is...
Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...

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Urethral Stricture Induction Followed by Buccal Mucosa Graft Urethroplasty in a Rat Model
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Posttraumatic ventral urethral fistula: a case report.

Mehmet Yucel1, Sahin Kabay, Levent Sahin

  • 1Department of Urology, Dumlupinar University Faculty of Medicine, 43270 Kutahya, Turkey. myucel75@gmail.com

Cases Journal
|February 26, 2010
PubMed
Summary

This case report details a rare posttraumatic urethral fistula caused by self-retraction of a balloon urethral catheter. Prompt surgical intervention led to successful fistula resolution and no recurrence during follow-up.

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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
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Area of Science:

  • Urology
  • Surgical Case Reports

Background:

  • Presents the first reported case of a posttraumatic urethral fistula associated with self-retraction of a balloon urethral catheter.
  • Highlights a rare but significant complication following urethral trauma and catheterization.

Purpose of the Study:

  • To document a unique clinical presentation of a urethrocutaneous fistula.
  • To illustrate the management and outcome of such a rare complication.

Main Methods:

  • A 69-year-old male patient with recurrent urinary tract infections and a history of urethral trauma was investigated.
  • Diagnostic procedures included cystoscopy and fistulography to confirm the urethrocutaneous fistula.
  • Treatment involved surgical debridement and urethral catheterization.

Main Results:

  • The urethrocutaneous fistula successfully resolved within 4 weeks after surgical debridement and catheterization.
  • A 24-month follow-up revealed no recurrence of the fistula or urinary tract infections.

Conclusions:

  • Self-retraction of balloon urethral catheters can lead to clinically significant urethral fistulas.
  • Surgical options like fistula tract excision and primary closure should be considered for individualized patient management.