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[Urethral injuries--a retrospective analysis of therapeutic possibilities and late morbidity]
Abstract:
Injuries of the urethra confront traumatologists and urologists with common diagnostic and therapeutic problems. By an early interdisciplinary cooperation life-threatening early complications such as urosepsis, and late complications which are difficult to be corrected such as strictures of the urethra may be prevented and reduced, respectively. The accidental mechanisms and the diagnostic possibilities in injuries of the urethra are explained in detail. In 24 patients with anterior ruptures of the urethra and in 66 patients with posterior injuries of the urethra with the exception of 12 immediate operative reconstructions primarily a suprapubic and transurethral micturition was chosen. The posttraumatic results concerning the rate of stricture, the kind of removal of the stricture, the frequency of incontinence of urine and erectile impotence are analysed.