Endoscopically Assisted Perineal Posterior Urethroplsty

Koraitim, Mamdouh M.; Koraitim, Mohamed

doi:10.1016/s0022-5347(09)60096-3

Cited by 1 publication

(2 citation statements)

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“…Ordinarily, the apex of the prostate was then incised over the tip of a Van Buren sound passed down transvesically through the pre-existing suprapubic catheter tract. However, in the presence of a PBBF the technique of endoscopically assisted perineal urethroplasty was used [6]. In this technique a cystoscope was first introduced via the suprapubic tract.…”

Section: Operative Techniquementioning

confidence: 99%

“…Otherwise, it is certainly inadvisable because the sound may slip into the false passage, which will be mistaken for the prostatic urethra and will be wrongly anastomosed to the bulbar urethra. In such cases a correct anastomotic repair can be secured using the endoscopically assisted perineal urethroplasty as described above [6].…”

Section: Paraurethral Bladder Base Fistulaementioning

confidence: 99%

See 1 more Smart Citation

Complex pelvic fracture urethral distraction defects revisited

Koraitim

2013

Scandinavian Journal of Urology

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A PFUDD may be considered as complex if it is associated with a PBBF, urethrorectal or urethrocutaneous fistula, urinoma cavity, or bladder neck incompetence. Complete excision of a PBBF usually requires a perineoretropubic approach. The initial trauma-related urethrorectal fistula usually opens into the prostatic urethra and its repair requires an abdominal approach, whereas an iatrogenic rectal fistula usually opens into the proximal bulbar urethra and can be resolved by a relatively simple perineal operation. Excision of a urinoma cavity or urethrocutaneous fistula can usually be accomplished from the perineum, while repair of a bladder neck incompetence requires an abdominal approach.

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Section: Operative Techniquementioning

confidence: 99%

Section: Paraurethral Bladder Base Fistulaementioning

confidence: 99%