340 Initial management of pelvic fracture urethral distraction injury: Urethral realignment versus suprapubic tube

Abd‐Alla, Mohamed Hemida; Ibrahim, Taseer; Latif, Amer

doi:10.1016/s1569-9056(15)60337-2

Cited by 2 publications

(7 citation statements)

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“…For endoscopic realignment in NRCS the selected papers report stricture rates ranging from 14.3 (14) -100% (11). In NCS papers strictures were observed in 25 (19) -73.7% (22) of patients.…”

Section: Discussionmentioning

confidence: 99%

“…One NRCS out of five and one NCS out of seven are conference abstracts (11,12). Recruitment periods ranged from 1987 to 2013, publication dates from 2001 to 2015 (table1).…”

Section: Study Detailsmentioning

confidence: 99%

“…Heterogeneous populations were evident in the included studies. Only one conference abstract excluded partial injuries (11). Three studies excluded bladder neck involvement (11,13,14).…”

Section: 21patientsmentioning

confidence: 99%

“…Radiographic studies (retrograde and/or antegrade urethrography) were performed in the majority of NRCS (11,15,16,21) and NCS (17)(18)(19)(20)22).…”

Section: One Paper Did Not Exclude All Cases With Open Realignment (12)mentioning

confidence: 99%

“…Two of the NRCS papers used only retrograde cystoscopy (flexible and radiographic control) (14,15). Four other papers used a combination of retrograde and antegrade cystoscopy (through the cystostomy) (11,13,16,21). All the NCS papers combined retrograde and antegrade realignment.…”

Section: One Paper Did Not Exclude All Cases With Open Realignment (12)mentioning

confidence: 99%

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Outcomes of Early Endoscopic Realignment Versus Suprapubic Cystostomy and Delayed Urethroplasty for Pelvic Fracture-related Posterior Urethral Injuries: A Systematic Review

Elshout

Veskimäe

MacLennan

et al. 2017

European Urology Focus

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This systematic review of literature of urethral trauma revealed there are no well conducted comparative studies of newer endoscopic treatments versus standard treatments which include more extensive surgery. The results of the reports we selected based on specific characteristics are often influenced by variable factors. After careful analysis of these results we can conclude that the newer endoscopic techniques might resolve the risk of urethral injury due to pubic fractures in about half of the patients. Because of various confounders we cannot identify those patients who would benefit from this procedure or who might be possibly harmed.

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“…For endoscopic realignment in NRCS the selected papers report stricture rates ranging from 14.3 (14) -100% (11). In NCS papers strictures were observed in 25 (19) -73.7% (22) of patients.…”

Section: Discussionmentioning

confidence: 99%

“…One NRCS out of five and one NCS out of seven are conference abstracts (11,12). Recruitment periods ranged from 1987 to 2013, publication dates from 2001 to 2015 (table1).…”

Section: Study Detailsmentioning

confidence: 99%

“…Heterogeneous populations were evident in the included studies. Only one conference abstract excluded partial injuries (11). Three studies excluded bladder neck involvement (11,13,14).…”

Section: 21patientsmentioning

confidence: 99%

“…Radiographic studies (retrograde and/or antegrade urethrography) were performed in the majority of NRCS (11,15,16,21) and NCS (17)(18)(19)(20)22).…”

Section: One Paper Did Not Exclude All Cases With Open Realignment (12)mentioning

confidence: 99%

Section: One Paper Did Not Exclude All Cases With Open Realignment (12)mentioning

confidence: 99%

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Outcomes of Early Endoscopic Realignment Versus Suprapubic Cystostomy and Delayed Urethroplasty for Pelvic Fracture-related Posterior Urethral Injuries: A Systematic Review

Elshout

Veskimäe

MacLennan

et al. 2017

European Urology Focus

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Emergency treatment of male blunt urethral trauma in China: Outcome of different methods in comparison with other countries

Zhang

2018

Asian Journal of Urology

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Treatment of male urethral trauma is always a challenging problem. In China, as the incidence of urethral trauma keeps rising, more and more studies relating to this are being published. To compare the outcome of different emergency treatments in China and other countries, we searched Chinese and English literature about this topic in the past 16 years. A total of 167 studies involving 5314 patients were included, with 144 in Chinese and 23 in English. All studies were retrospective in nature. Based on the analyses, surgical methods include open realignment, endoscopic realignment and primary repair, and we summarized and compared the success rate and complications (mainly erectile dysfunction and incontinence) of each method. We found that realignment of posterior urethra has similar success rate in China and other countries, but the outcome of realignment of anterior urethra is variable. The reason remains unknown. While long abandoned in Western countries, primary repair of anterior urethra is still an option in China and has high success rate.

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340 Initial management of pelvic fracture urethral distraction injury: Urethral realignment versus suprapubic tube

Cited by 2 publications

References 0 publications

Outcomes of Early Endoscopic Realignment Versus Suprapubic Cystostomy and Delayed Urethroplasty for Pelvic Fracture-related Posterior Urethral Injuries: A Systematic Review

Outcomes of Early Endoscopic Realignment Versus Suprapubic Cystostomy and Delayed Urethroplasty for Pelvic Fracture-related Posterior Urethral Injuries: A Systematic Review

Emergency treatment of male blunt urethral trauma in China: Outcome of different methods in comparison with other countries

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