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: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/628107 |
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| _version_ | 1850223598680145920 |
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| author | Joel Gelman Eric S. Wisenbaugh |
| author_facet | Joel Gelman Eric S. Wisenbaugh |
| author_sort | Joel Gelman |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-4939f41fc033455ba559612d6ce868ae |
| institution | OA Journals |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-4939f41fc033455ba559612d6ce868ae2025-08-20T02:05:52ZengWileyAdvances 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 |
| spellingShingle | Joel Gelman Eric S. Wisenbaugh Posterior Urethral Strictures Advances in Urology |
| title | Posterior Urethral Strictures |
| title_full | Posterior Urethral Strictures |
| title_fullStr | Posterior Urethral Strictures |
| title_full_unstemmed | Posterior Urethral Strictures |
| title_short | Posterior Urethral Strictures |
| title_sort | posterior urethral strictures |
| url | http://dx.doi.org/10.1155/2015/628107 |
| work_keys_str_mv | AT joelgelman posteriorurethralstrictures AT ericswisenbaugh posteriorurethralstrictures |