Urethral gap in complete disruption of membranous urethra |
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| Authors: | A N Lupu J H Farrer R B Smith J J Kaufman |
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| Institution: | 1. Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, United Kingdom;2. The Coxa Hospital for Joint Replacement, Tampere, Finland;1. School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom;2. Clinical Pharmacy Department, Faculty of Pharmacy, Cairo University, Cairo, Egypt;3. National Guideline Centre, Royal College of Physicians, London, United Kingdom;4. National Institute for Health and Care Excellence, London, United Kingdom;5. NHS East and North Hertfordshire Clinical Commissioning Group, Hertfordshire, United Kingdom;6. Endocrinology and Acute Internal Medicine, Diabetes Centre, Heart of England NHS Foundation Trust, Birmingham, United Kingdom;7. Intensive Care Medicine, University of Birmingham; Honorary Consultant in Intensive Care Medicine, Queen Elizabeth Hospital, Birmingham, United Kingdom;1. Department of Civil and Environmental Engineering, University of South Carolina, Columbia, SC, USA;2. Department of Computer Science and Engineering, University of South Carolina, Columbia, SC, USA;3. Department of Mechanical Engineering, University of South Carolina, Columbia, SC, USA;1. Service d’Urologie, Hôpital Général Juif, Université McGill, 3755, chemin de la Côte-Sainte-Catherine, Montréal, QC, H3T 1E2 Canada;2. Service d’Urologie, Hôpital Claude-Huriez, Université Lille-Nord-de-France, Lille, France;1. Department of Obstetrics, Gynecology & Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD 21201, United States;2. Division of Biostatistics and Bioinformatics, Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201 ,United States;3. Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD 21201, United States;4. Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine Baltimore, MD 21201, United States;1. School of Materials Science and Engineering, Harbin University of Science and Technology, 150001, China;2. Institute of Industrial Science, The University of Tokyo, 153-8505, Japan |
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| Abstract: | In patients with complete disruption of the membranous urethra treated initially with placement of a suprapubic cystostomy, delayed synchronous retrograde and voiding cystourethrograms failed to demonstrate accurately the distance between the two urethral ends. Radiographic exposure obtained during synchronous instrumentation of the anterior and posterior urethra in the anesthetized patient was the most precise method of defining the extent of the urethral gap. Any surgical decision should be based on this type of investigation. In most cases of pelvic crush injuries, the severed membranous urethra probably remains attached in close proximity to the distal segment, thus directing the redescent of the prostate and bladder base in the presence of a contracting pelvic hematoma. |
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