Endoscopic re-establishment of membranous urethral disruption.
A total of 17 patients with traumatic membranous urethral disruption underwent urethral reconstruction via a core-through technique. Followup was 1 to 8 years (mean 3.7 years) postoperatively, and included 6 weeks with an indwelling catheter, periodic dilation for 6 months and occasional sounding. Within 1 year postoperatively, 6 patients required additional scar incision, including 3 who underwent scar resection. At 1 to 8 years postoperatively 6 patients had complications: 3 had stricture requiring periodic dilation (including 2 who underwent scar incision), while 2 had mild stress incontinence and 1 had nocturnal enuresis. Traumatic impotence was noted in 7 patients but the operation was not the cause in any. This method of endoscopic management was found to be an acceptable alternative to urethroplasty in cases of membranous urethral disruption.
Yasuda
K
K
Department of Urology, School of Medicine, Chiba University, Japan.
Yamanishi
T
T
Isaka
S
S
Okano
T
T
Masai
M
M
Shimazaki
J
J
D000328:Adult; D002404:Catheterization / Q000379:methods*; D002921:Cicatrix / Q000601:surgery; D004106:Dilatation / Q000379:methods; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013997:Time Factors; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000209:etiology / Q000628:therapy*; D014546:Urinary Catheterization / Q000379:methods*