title: The role of delayed primary repair in the acute management of pelvic fracture injuries of the urethra.
abstract: The principal aim of management of the ruptured urethra should be to do everything possible to reduce the long-term complication rate and this applies principally to stricture formation. By far the most difficult complication to treat is severe distraction; thus the aim of early management should be to recognise and correct severe distraction injuries. Delayed primary repair at 7 to 10 days is recommended for this problem. The aim is not to prevent a stricture occurring but to make sure that if it does occur it is easily treatable.
authors.affiliation: Department of Urology, Guy's Hospital, London.
authors.forename: A R
authors.initials: AR
authors.lastname: Mundy
mesh_terms: D000293:Adolescent; D000328:Adult; D050723:Fractures, Bone / Q000150:complications*; D006406:Hematoma / Q000601:surgery; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D011183:Postoperative Complications / Q000517:prevention & control; D012421:Rupture / Q000601:surgery; D013997:Time Factors; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D014525:Urethral Stricture / Q000517:prevention & control