Endoscopic repair of the completely disrupted urethra.
Posterior urethral disruption or obliteration is most often the result of pelvic trauma. We describe a modified endoscopic technique used to reestablish urethral continuity in five patients with a minimum 2-year follow-up. This technique involved cold-knife incision of the scar without dilation followed by short-term catheterization. The advantages of endoscopic reestablishment of urethral continuity include short hospitalization, limited blood loss, no external incision, briefer operating time compared with open urethroplasty, and a stable patent urethra.
Levine
L A
LA
Department of Surgery, University of Chicago Medical Center, IL.
Eckrich
P C
PC
D000328:Adult; D002404:Catheterization; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods; D012008:Recurrence; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014517:Ureteral Obstruction / Q000209:etiology