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Updated: Sep 2, 2025

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Pelvic Fracture Urethral Distraction Defect
Kevin Krughoff1, Joshua Shapiro2, Andrew C Peterson3
1Division of Urology, Genitourinary Cancer Survivorship Program, Duke University Medical Center, DUMC 3146, Durham, NC 27710, USA.
Abstract:
Posterior pelvic fracture urethral distraction defects (PFUDD) can present formidable challenges in genitourinary reconstruction. Once the acuity of trauma subsides, the patient is often faced with chronic, debilitating genitourinary injuries. Treatment requires an astute diagnostic and technical approach, with definitive repair best accomplished in the hands of experts. A delayed, stepwise approach to repair following the resolution of acute injuries remains a time-tested platform for optimal outcomes. The evaluation, relevant anatomy, and approach to surgical repair are described herein.
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