[Urethral guidance probe applied to surgical urethral realignment].
OBJECTIVE
To search for a safe and convenient surgical method for management of urethral disruption.


METHODS
We performed urethral realignment for 18 cases of posterior urethral disruption and 4 cases of ruptured bulbous urethra using the urethral guidance probe following bladder puncture stoma.


RESULTS
Urethral realignment was accomplished in 21 of the cases, 18 under epidural and 3 under local anesthesia, with the mean blood loss of 20 ml and the average operation time of 18 minutes. Open surgery was necessitated in 1 case due to the complication of bladder rupture. Routine postoperative urethral dilation extended for 3 months, and all the cases were followed up for 3 to 24 months. The maximum urine flow rate was 15-22 ml/s in 13 cases and 10-14 ml/s in 7. One case received urethral anastomosis 3 months later because of urethrostenosis.


CONCLUSIONS
Urethral realignment with the urethral guidance probe is a safe, convenient and effective surgical strategy for the management of urethral disruption.
Huang
Xiao-jia
XJ
Department of Urology, The 8th Hospital of Shenzhen, Shenzhen, Guangdong 518101, China. huangxiaojiadexin@126.com
Qiu
Jian-zhong
JZ
Li
Chun
C
Qiu
Jie-wen
JW
Wen
Bo
B
Peng
Rui
R
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries* / Q000601:surgery*; D055815:Young Adult