title: The mechanism of continence after posterior urethroplasty.
abstract: The standard of care after a pelvic fracture urethral injury is a repair via a one-stage anastomotic posterior urethroplasty using a step-wise perineal approach. The initial injury, immediate postoperative management, and surgical repair can all affect urinary continence in these patients. Proximal continence mechanisms, particularly the bladder neck, are particularly important in maintaining urinary continence in these patients. Patients with bladder neck dysfunction should be counselled about the greater risk of urinary incontinence.
authors.affiliation: Center for Genitourinary Reconstruction, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Herman S
authors.initials: HS
authors.lastname: Bagga
authors.affiliation: Center for Genitourinary Reconstruction, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Angermeier
keywords: Genitourinary trauma; PFUI, pelvic fracture urethral injury; PU, posterior urethroplasty; Pelvic fracture; Posterior urethroplasty; Urethral trauma; Urinary continence