Injuries to the Urethra1

Mitchell, J. P.

doi:10.1111/j.1464-410x.1968.tb11861.x

Cited by 117 publications

(13 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Having said that, the Terminologia Anatomica does not recognize the existence of the bulbar and penile (pendulous) subdivisions of the anterior urethra – which it calls the spongiose urethra – and regards the term ‘membranous urethra’ as a misnomer because the existence of the urogenital diaphragm has been refuted [8]. Furthermore, although the membranous urethra is described as being only ≈1–2 cm long in anatomical texts, it seems to be longer in life [9]. It can also be stretched.…”

Section: Discussionmentioning

confidence: 99%

Non‐transecting anastomotic bulbar urethroplasty: a preliminary report

Andrich¹,

Mundy²

2011

BJU International

123

View full text Add to dashboard Cite

What ' s known on the subject? and What does the study add? Excision of a stricture and end-to-end anastomosis of the two ends is thought to be the best form of treatment for short strictures of the proximal bulbar urethra but involves transecting the main blood supply of the corpus spongiosum and the urethra. This is a preliminary report of achieving the same goal but without transecting the blood supply of the corpus spongiosum of the urethra. OBJECTIVE• To report our early experience with a novel approach to the excision and end-to-end anastomotic repair of bulbar urethral strictures. PATIENTS AND METHODS• A total of 22 patients underwent excision and end-to-end anastomosis of a proximal bulbar urethral stricture using a technique in which the corpus spongiosum is not transected, so as to maintain its blood supply intact.• The range of follow-up was 6 -21 months and for 16 patients the follow up was ≥ 1year. RESULTS• At 1 year of follow-up there was no evidence of a recurrent stricture on symptomatic assessment or urofl owmetry in the 16 patients.• On urethrography one patient has a urethral calibre 80% of normal. In the other 15 the calibre is normal or greater than normal. CONCLUSION• The non-transecting anastomotic bulbar urethroplasty technique used appears to give results that are as good as those of traditional anastomotic urethroplasty with less surgical trauma. KEYWORDSurethroplasty , urethral stricture , urethral reconstruction Study Type -Therapy (case series) Level of Evidence 4

show abstract

Section: Discussionmentioning

confidence: 99%

Non‐transecting anastomotic bulbar urethroplasty: a preliminary report

Andrich¹,

Mundy²

2011

BJU International

123

View full text Add to dashboard Cite

show abstract

“…It was subsequently noted that the bladder and prostate were typically dislocated backwards causing an ‘S‐bend’ deformity at the site of injury if the lumen of the urethra was maintained, either because it was an incomplete injury or because of subsequent catheterisation (Fig. 7) [11,12,25,59,60]. These authors concluded that the occurrence and nature of the urethral injury were related to the effect of the causative trauma on the ligamentous attachments of the urethra and that direct injury by bone fragments, the so‐called ‘switchblade injuries’ (Fig.…”

Section: Posterior Urethral Injurymentioning

confidence: 99%

“…More recent reports have concluded that the injury was due to a transversely orientated force vector that sheared the prostate off the membranous urethra at the level of the superior fascia of the UGD [59,61]. It was later thought to be due to a cranially orientated force vector due to compression of the pelvic viscera during the disruption of the pelvic ring.…”

Section: Posterior Urethral Injurymentioning

confidence: 99%

Urethral trauma. Part I: introduction, history, anatomy, pathology, assessment and emergency management

Mundy¹,

Andrich²

2011

BJU International

View full text Add to dashboard Cite

show abstract

“…This was the origin of the 'minimalist' approach of SPC + DU. As a consequence, his group and others, most notably Mitchell [28], advocated and successfully promoted this approach to management. Thus, primary repair fell from favour because it was often impossible for various reasons, not the least of which was that the traumatised tissues would not hold sutures, as Bailey [29] had noted in 1927 (listing inter alia 13 different ways of finding the proximal end of a completely ruptured urethra, of which only Verguin's approach was reliable).…”

Section: Posterior Urethral Injuriesmentioning

confidence: 99%