Contemporary management of urethral trauma and the post-traumatic stricture

Current Opinion in Urology

Volumn 9, Issue 3, 1999, Pages 253-260

  Chapple, Christopher R ^a   Png, Damian ^a  

^a ROYAL HALLAMSHIRE HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HUMAN; PATIENT CARE; PLASTIC SURGERY; PRIORITY JOURNAL; REVIEW; SURGICAL DRAINAGE; URETHRA INJURY; URETHRA STRICTURE; URETHROPLASTY;

FEMALE; HUMANS; MALE; URETHRA; URETHRAL STRICTURE; UROLOGIC SURGICAL PROCEDURES; WOUNDS AND INJURIES;

EID: 0032837340     PISSN: 09630643     EISSN: None     Source Type: Journal    
DOI: 10.1097/00042307-199905000-00011     Document Type: Review

References (20)

1. Carlin BI, Resnick MI. Indications and techniques for urologic evaluation of the trauma patient with suspected urologic injury. Semin Urol 1995; 13:9-24.
2. Webster GD, Mathes GL, Selli C. Prostatomembranous urethral injuries. A review of the literature and a rational approach to their management, J Urol 1983; 130:898-902.
3. Turner-Warwick R. The sphincter mechanisms-the avoidance of postprostatectomy incontinence. In: Die Post-Operative Haminkontinenz des Mannes Internationales Symposium. Webber W, Jonas D (editors). Stuttgart: Thieme; 1981. pp. 17-33.
4. Turner-Warwick R. Urethral stricture surgery. In: Current operative urology. Mundy AR (editor). New York: Churchill Livingstone; 1989. pp. 215-218.
5. Colapinto V, MacCallum RM. Injury to the male posterior urethra in fractured pelvis, a new classification. J Urol 1977; 18:575.
6. Goldman SM, Sandier CM, Corriere JN, McGuire EJ. Blunt urethral trauma: a unified, anatomical mechanical classification. J Urol 1997; 157:85-89.
7. Pery MO, Husmann DA. Urethral injuries in female subjects following pelvic fractures. J Urol 1992; 147:139-143.
8. Koraitim MM. Post-traumatic posterior urethral strictures in children a 20 yr experience. J Urol 1997; 157:641-645.
9. Baskin LS, Canning DA, Snyder HM, Duckett JW. Surgical repair of urethral circumcision injuries. J Urol 1997; 158:2269-2271. This report reviews 11 cases where post-circumcision injury was treated; three cases were the result of glans injuries. The principles of surgery for hypospadiac disease were utilized to advance the urethral meatus towards the lip of the glans.
10. Palmer JK, Benson GS, Corriere IN. Diagnosis and initial management of urological injuries associated with 200 consecutive pelvic fractures. J Urol 1983; 13:712-714.
11. Sandier CM, Goldman SM, Kawashima A. Lower urinary tract trauma. World J Urol 1998; 16:69-75.
12. Goldman SM, Sandier CM, Upper urinary tract trauma - current concepts. World J Urol 1998; 16:62-68. This paper concisely reviews current concepts and controversies concerning the classification, clinical findings, imaging techniques and management of upper urinary tract trauma with particular reference to the impact of computerized tomography and spiral computerized tomography.
13. Elliot DS, Barrett DM. Long-term follow-up and evaluation of primary realignment of posterior urethral disruptions. J Urol 1997; 157:814-816. Results of a large series of patients undergoing primary endoscopic urethral realignment, emphasizing that this does not have the same morbidity associated with open primary realignment and if the opportunity arises it may be of some benefit, particularly in bringing together the two ends of the urethra and thereby facilitating any subsequent surgery. In this study, only four patients subsequently underwent urethroplasty which is particularly impressive with the mean follow-up of 10.5 years.
14. Porter JR, Takayatna TK, Defalco AJ, Traumatic posterior urethral injury and early realignment using magnetic urethral catheters. J Urol 1997; 158:425-430. This paper describes the technique of using magnetic linking of urethral catheters to facilitate early realignment of the urethra after traumatic disruption. A small series of patients with a short-term follow-up.
15. Koraitim MM. Pelvic fracture urethral injuries: evaluation of various methods of management J Urol 1996; 156:1288-1291
16. Mundy AR. Urethroplasty for posterior urethral strictures. Br J Urol 1996; 78:243-247.
17. Mark SD, Keane TE, Vandemark RM, Webster GD. Impotence following pelvic fracture urethral injury: incidence, aetiology and management. Br J Urol 1995; 75:62-64.
18. Morey A.F., McAninch J.W. Reconstruction of posterior urethral disruption injuries: outcome analysis in 82 patients. J Urol 1997; 157:506-551.
19. Podesta ML. Use of the perineal and perineal-abdominal (transpubic) approach for delayed management of pelvic fracture urethral obliterative strictures in children: longterm outcome. J Urol 1998; 16:110-164. This paper describes a large series of boys with pelvic fracture urethral distraction defect (n = 30). This emphasizes the higher incidence of bladder neck injury in this age-group, with 15 patients undergoing an abdominal approach. The results were very satisfactory in that success rate of restoring urethral continuity is very similar to the previously reported adult series. Three patients had severe incontinence and in a further child, incontinence was related to overflow as a result of a poorly functioning detrusor. In the three patients with severe incontinence, incontinence caused by weakness of the outlet was related to the initial trauma.
20. MacDiarmid S, Rosario D, Chapple CR. The importance Of accurate assessment and conservative management of the open bladder neck in patients with pelvic fracture membranous urethral distraction defects. Br J Urol 1995; 75:65-67.