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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Updated: Jun 17, 2025

Iatrogenic Injury Recapitulated: Electroexcision Technique for Urethral Stricture Modeling in Rats
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Penetrating Posterior Urethral Injuries: Case Report and Management Strategies.

Seyed Sajjad Tabei1, Brandon Lippold2, Wesley Baas1

  • 1Division of Urology Department of Surgery University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, Ohio 45267, USA.

Case Reports in Urology
|August 6, 2024
PubMed
Summary

Penetrating posterior urethral trauma from gunshot wounds (GSW) is rare. Initial management with catheterization is recommended, with delayed urethroplasty showing success for strictures and fistulas.

Keywords:
gunshot woundpenetrating woundsposterior urethraurethral diseasesurotrauma

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Area of Science:

  • Urology
  • Trauma Surgery

Background:

  • Penetrating posterior urethral trauma from gunshot wounds (GSW) is a rare injury.
  • Limited data exists on optimal management strategies for these complex injuries.

Observation:

  • A case series of three patients with ballistic posterior urethral injuries from GSW is presented.
  • Initial management included urethral catheterization, with one patient requiring suprapubic catheterization (SPT).
  • Complications observed were recurrent stricture, urinary retention, rectourethral fistula, and erectile dysfunction (ED).

Findings:

  • GSW posterior urethral injuries are complex, potentially involving adjacent organs.
  • Immediate urethroplasty/fistula repair is challenging for prostatic/membranous injuries.
  • Urethral catheter or suprapubic tube placement is recommended for fistula closure and urethral patency.

Implications:

  • Delayed urethroplasty can be highly successful for managing GSW-related posterior urethral injuries.
  • Close patient follow-up is crucial to monitor for potential stricture recurrence.
  • This case series contributes valuable experience to the limited literature on GSW urethral trauma management.