Initial management of anterior and posterior urethral injuries.
The key to the initial management of a urethral injury is prompt diagnosis, accurate staging of the injury, and properly selecting an intervention that minimizes the overall chances for the debilitating complications of incontinence, impotence, and urethral stricture. Although somewhat controversial, blunt traumatic posterior injuries generally are managed best by primary realignment (when feasible), straddle injuries of the bulbar urethra by suprapubic urinary diversion, and penetrating urethral injuries by primary repair and urinary diversion.
Division of Urologic Surgery, Washington University School of Medicine, Box 8242, 4960 Children's Place, St. Louis, MO 63110, USA. brandes@msnotes.wustl.edu
Steven
S
Brandes
D006801:Humans; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries*; D014522:Urethral Diseases / Q000145:classification / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000145:classification / Q000601:surgery*; D014950:Wounds, Penetrating / Q000145:classification / Q000601:surgery*