Pelvic fracture-associated urethral injuries in girls: experience with primary repair

BJU International
Lalgudi N DorairajanSantosh Kumar

Abstract

To present our experience with four urethral injuries in females accompanying a pelvic fracture, managed with primary repair or realignment of the urethra. 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. 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. 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 vagi...Continue Reading

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Citations

Jan 16, 2014·The Indian Journal of Surgery·Fanindra Singh SolankiDhananjay Sharma
Apr 1, 2009·Journal of Indian Association of Pediatric Surgeons·Lavanya Kannaiyan, Sudipta Sen
Apr 18, 2014·Journal of Surgical Technique and Case Report·Sachin PatilSatya N Sankhwar
Dec 15, 2015·Lower Urinary Tract Symptoms·Koji IchiharaRyuichi Kato
Sep 22, 2016·Journal of Obstetrics and Gynaecology of India·Vinod PriyadarshiDilip Kumar Pal
Mar 22, 2012·Urologia Internationalis·Renate PichlerJosef Oswald
Jan 19, 2018·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Ritesh Kumar SinghRajeev Sood
Sep 29, 2015·Pediatric Emergency Care·James A MeltzerStephen M Blumberg
Jan 17, 2020·ANZ Journal of Surgery·Benjamin StoreyAlison Blatt

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