Endoscopic reconstruction of traumatic urethral transections.
Total traumatic urethral transections can be reconstructed endoscopically if the obliterated segment is short (less than 3 cm). A small trocar is passed under radiographic control, and balloon dilatation is performed over a guidewire. Scar is resected, and triamcinolone is injected. An additional urethrotomy is usually required later. Ten patients have had this technique of reconstruction. Seven have good results with long-term follow-up; three are voiding well but have only short follow-up.
Marshall
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James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland.
D000328:Adult; D004724:Endoscopy; D007172:Erectile Dysfunction / Q000209:etiology; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D011859:Radiography; D014521:Urethra / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery