Initial management of acute urethral injuries.
A study was made of 30 cases of acute urethral trauma treated over a 7-year period. There were 10 anterior and 20 posterior urethral injuries, the majority of these being partial ruptures. Posterior urethral injuries were caused by road traffic accidents in 75% of cases while 80% of the anterior urethral injuries were of the "straddle" type. There was only 1 case of iatrogenic injury to the anterior urethra. During follow-up, all patients required periodic dilatations for stricture except for the single case of iatrogenic injury. An average of 5 dilatations controlled all of the strictures except for 2 that required urethroplasties.
Department of Surgery/Urology, Toa Payo Hospital, Singapore.
P H
PH
Lim
H C
HC
Chng
D000328:Adult; D000368:Aged; D003559:Cystostomy; D004106:Dilatation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012421:Rupture; D014521:Urethra / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014525:Urethral Stricture / Q000209:etiology / Q000628:therapy; D014546:Urinary Catheterization