[Clinical comparison of flexible endoscopic realignment with traditional open realignment].
OBJECTIVE
To evaluate the clinical value of flexible endoscopic realignment for posterior urethral disruption as compared with traditional open realignment.


METHODS
A total of 58 patients suffering posterior urethral disruption in Beijing Jishuitan Hospital from January 2003 to May 2009 were examined. Twenty-three patients (Group A) were performed with flexible endoscopic realignment and 35 patients (Group B) were performed with traditional open realignment. The operation duration and post-operative complications were compared between two groups.


RESULTS
All operations were successfully performed. The operative duration was significantly shorter in Group A than that in Group B [(29 +/- 10) min vs (58 +/- 11) min, P = 0.000]. Also, the patients in Group A had a significantly decreased rate of stricture and false urethral passages formation (17.4% vs 42.9%, 0 vs 20%, both P < 0.05). There were no significant difference in urinary infection, repeat procedures, incontinence and impotence between two groups (P > 0.05).


CONCLUSIONS
As compared with traditional open realignment, flexible endoscopic realignment has the advantages of short operation duration, lesser trauma and fewer complications. Therefore it is an excellent method for the treatment of urethral injury.
Huang
Guang-Lin
GL
Department of Urology, Beijing Jishuitan Hospital, Beijing100035, China. h_gl@yahoo.cn
Man
Li-Bo
LB
Li
Gui-Zhong
GZ
Wang
Hai
H
Liu
Ning
N
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D004724:Endoscopy; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D055815:Young Adult