title: Surgical treatment of urethral distraction defect associated with pelvic fracture: a nationwide survey in Japan.
abstract: OBJECTIVE
  To survey practice patterns in surgical treatment for urethral distraction defect associated with pelvic fracture (PFUDD) and to analyze outcomes of the treatment in Japan.
  
  
  METHODS
  A questionnaire on surgical treatment for PFUDD to 3307 Japanese consultant urologists was sent. Responses were collected and statistically analyzed.
  
  
  RESULTS
  The number of respondents was 1290 (39%). Patients surgically treated for PFUDD in the previous 5 years totaled 0 for 919 urologists (71%), one to two for 283 (22%), and three to ten for 83 (7%) urologists. Realignment for PFUDD was carried out within 2 weeks in 205 patients (23%), after 2-6 months in 607 (69%) patients, and after more than 6 months in 72 (8%) patients. Urologists operated on 361 (61%) patients endoscopically (ES), 108 (18%) by open anastomosis (OA) and 101 (17%) by pull-through operation (PT). According to the operator's impression, success rates were 65% for ES, 79% for PT and 69% for OA. Re-operation (RO) rates were 43%, 25% and 26% for ES, PT, and OA, respectively, (ES vs PT or OA; P < 0.05). Postoperative repeated urethral dilatation (PORUD) was required in 71% of ES, 77% of PT and 38% of OA cases (OA vs ES or PT; P < 0.05).
  
  
  CONCLUSIONS
  PFUDD represents a rare disorder for Japanese urologists. Deferred endoscopic realignment is the preferred treatment option. Success rates were not different among three surgical treatments. OA was superior to ES and PT in terms of PORUD and RO.
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan. skitahara@tamanan-hp.com
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kitahara
authors.forename: Ryo
authors.initials: R
authors.lastname: Sato
authors.forename: Kosaku
authors.initials: K
authors.lastname: Yasuda
authors.forename: Gaku
authors.initials: G
authors.lastname: Arai
authors.forename: Hideo
authors.initials: H
authors.lastname: Nakai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okada
mesh_terms: D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D007564:Japan; D010384:Pelvic Bones / Q000293:injuries*; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods