title: [Infra- and supradiaphragmatic urethral injuries. Acute treatment].
abstract: BACKGROUND
  Urethral injuries are often caused by pelvic fractures or blunt trauma. Drainage of the urinary bladder is the first step of therapy.
  
  
  RESULTS
  Urethral injuries are often caused by pelvic fractures or blunt trauma. Drainage of the urinary bladder is the first step of therapy. Standard procedure is the insertion of a suprapubic stent in stable patients without concomitant open injuries in the pelvis area. Endoscopic realignment is useful in patients with pelvic fracture, vaginal, rectal, or bladder injury, who require open surgery. Delayed repair by stricture excision and open urethroplasty with end-to-end anastomosis is the standard procedure.
authors.affiliation: Urologische Klinik und Poliklinik, Universitätsklinik Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland. o.engel@uke.de.
authors.forename: O
authors.initials: O
authors.lastname: Engel
authors.affiliation: Urologische Klinik und Poliklinik, Universitätsklinik Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Boehm
authors.affiliation: Urologische Klinik und Poliklinik, Universitätsklinik Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Rink
authors.affiliation: Urologische Klinik und Poliklinik, Universitätsklinik Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Soave
authors.affiliation: Urologische Klinik und Poliklinik, Universitätsklinik Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Fisch
mesh_terms: D016638:Critical Illness; D003558:Cystoscopy / Q000379:methods; D003937:Diagnosis, Differential; D003950:Diagnostic Techniques, Urological; D004630:Emergencies; D004632:Emergency Medical Services / Q000379:methods; D004638:Emergency Treatment / Q000379:methods*; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome; D014521:Urethra / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013520:Urologic Surgical Procedures; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000601:surgery*
keywords: Endoscopic realignment; Pelvic fracture; Primary therapy; Urethral injury; Urethral reconstruction