Pelvic fracture-associated urethral injuries in girls: experience with primary repair |
| |
Authors: | Dorairajan Lalgudi N Gupta Harendra Kumar Santosh |
| |
Affiliation: | Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. gowidorai@sify.com |
| |
Abstract: | OBJECTIVE: To present our experience with four urethral injuries in females accompanying a pelvic fracture, managed with primary repair or realignment of the urethra. PATIENTS AND METHODS: There were three teenage girls and one adult (22 years old). All the patients had complete urethral injuries associated with a pelvic fracture from accidents. They were managed by immediate suprapubic cystostomy followed by repair or realignment of the urethra over a catheter on the same day. The catheter was removed after 3 weeks and a voiding cysto-urethrogram taken. Thereafter they were followed with regular urethral calibration. RESULTS: All patients voided satisfactorily with a good stream; three were fully continent and the fourth had transient stress urinary incontinence. One patient needed dilatation at 2 months and another visual internal urethrotomy at 5 months. At a mean (range) follow-up of 33 (9-60) months all the patients had a normal voiding pattern and were continent; none developed vaginal stenosis. CONCLUSION: Primary repair of the urethra, and if that is impossible, simple urethral realignment over a catheter, is the procedure of choice for managing female urethral injury associated with a pelvic fracture. The procedure has the additional advantage of reducing the risk of vaginal stenosis. |
| |
Keywords: | paediatric urethral injury staged repair pelvic fracture |
本文献已被 PubMed 等数据库收录! |
|