Factors that influence the outcome of open urethroplasty for pelvis fracture urethral defect (PFUD): an observational study from a single high-volume tertiary care center

World Journal of Urology
Qiang FuYue-min Xu

Abstract

To report the clinical features of pelvic fracture urethral injury (PFUI) and assess the real effect of factors that are believed to have adverse effects on delayed urethroplasty. An observational descriptive study in a single urological center examined 376 male patients diagnosed with PFUI who underwent open urethroplasty from 2009 to 2013. Analyzed factors included patient age at the time of injury, etiology of PFUI, type of emergency treatment, concomitant injuries, length and position of stricture, type of urethroplasty and the outcome of surgery. Univariate and multivariate logistic regression analyses were applied, together with analytical statistic methods such as t test and Chi-square test. The overall success rate of delayed urethroplasty was 80.6 %. Early realignment was associated with reduced stricture length and had beneficial effect on delayed surgery. Concomitant rectum rupture, strictures longer than 1.6 cm and strictures closer than 3 cm to the bladder neck were indicators of poor outcome. Age, type of injury, urethral fistula and bladder rupture were not significant predicators of surgery outcome. Failed direct vision internal urethrotomy and urethroplasty had no significant influence on salvage operation. The...Continue Reading

References

Jun 8, 2004·BJU International·C ChappleJ W McAninch
Jun 21, 2005·BJU International·Daniela E AndrichAnthony R Mundy
Jul 5, 2007·BJU International·Daniela E AndrichAnthony R Mundy
Jul 26, 2013·Scandinavian Journal of Urology·Mamdouh M Koraitim
Jul 28, 2013·The Journal of Trauma and Acute Care Surgery·Fernando J KimPhilip F Stahel

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Citations

Mar 22, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Akio Horiguchi
May 31, 2019·World Journal of Urology·Niels Vass JohnsenUNKNOWN Trauma Urologic Reconstruction Network of Surgeons(TURNS)
Mar 21, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Tadashi TabeiRyuichi Azuma

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