Posterior Urethral Strictures

Pelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, b...

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Main Authors: Joel Gelman, Eric S. Wisenbaugh
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2015/628107
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spelling doaj-4939f41fc033455ba559612d6ce868ae2020-11-24T22:57:11ZengHindawi LimitedAdvances in Urology1687-63691687-63772015-01-01201510.1155/2015/628107628107Posterior Urethral StricturesJoel Gelman0Eric S. Wisenbaugh1University of California, Irvine, 333 City Boulevard West, Suite 1240, Orange, CA 92868, USAUniversity of California, Irvine, 333 City Boulevard West, Suite 1240, Orange, CA 92868, USAPelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, but what is not controversial is that when there is the development of a stricture (which is usually obliterative with a distraction defect) after suprapubic tube placement or urethral catheter removal, the standard of care is delayed urethral reconstruction with excision and primary anastomosis. This paper reviews the management of patients who suffer pelvic fracture urethral injuries and the techniques of preoperative urethral imaging and subsequent posterior urethroplasty.http://dx.doi.org/10.1155/2015/628107
collection DOAJ
language English
format Article
sources DOAJ
author Joel Gelman
Eric S. Wisenbaugh
spellingShingle Joel Gelman
Eric S. Wisenbaugh
Posterior Urethral Strictures
Advances in Urology
author_facet Joel Gelman
Eric S. Wisenbaugh
author_sort Joel Gelman
title Posterior Urethral Strictures
title_short Posterior Urethral Strictures
title_full Posterior Urethral Strictures
title_fullStr Posterior Urethral Strictures
title_full_unstemmed Posterior Urethral Strictures
title_sort posterior urethral strictures
publisher Hindawi Limited
series Advances in Urology
issn 1687-6369
1687-6377
publishDate 2015-01-01
description Pelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, but what is not controversial is that when there is the development of a stricture (which is usually obliterative with a distraction defect) after suprapubic tube placement or urethral catheter removal, the standard of care is delayed urethral reconstruction with excision and primary anastomosis. This paper reviews the management of patients who suffer pelvic fracture urethral injuries and the techniques of preoperative urethral imaging and subsequent posterior urethroplasty.
url http://dx.doi.org/10.1155/2015/628107
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AT ericswisenbaugh posteriorurethralstrictures
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