Delayed repair is the ideal management for posterior urethral injuries- FOR the motion.
Posterior urethral injuries are seen in trauma cases with pelvic fracture. The time-tested and honored method of management is immediate supra-pubic diversion followed by delayed repair. Immediate alignment as a management option is not new. It was abandoned 30 years ago due to high incidence of incontinence and impotence. However, of late there is a tendency towards immediate management of these injuries with various endoscopic maneuvers. Unfortunately, there is little evidence supporting this. Even these evidences are of limited in number and of limited duration of follow-up.
Philipraj
S Joseph
SJ
Departments of Urology and Surgery, Sikkim Manipal Institute of Medical sciences, 5th mile, Tadong, Gangtok, Sikkim- 737 102, India.