Urethral guidance probe applied to surgical urethral realignment.
- Author:
Xiao-jia HUANG
1
;
Jian-zhong QIU
;
Chun LI
;
Jie-wen QIU
;
Bo WEN
;
Rui PENG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Anastomosis, Surgical; instrumentation; methods; Follow-Up Studies; Humans; Male; Middle Aged; Treatment Outcome; Urethra; injuries; surgery; Young Adult
- From: National Journal of Andrology 2009;15(6):542-544
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo search for a safe and convenient surgical method for management of urethral disruption.
METHODSWe performed urethral realignment for 18 cases of posterior urethral disruption and 4 cases of ruptured bulbous urethra using the urethral guidance probe following bladder puncture stoma.
RESULTSUrethral realignment was accomplished in 21 of the cases, 18 under epidural and 3 under local anesthesia, with the mean blood loss of 20 ml and the average operation time of 18 minutes. Open surgery was necessitated in 1 case due to the complication of bladder rupture. Routine postoperative urethral dilation extended for 3 months, and all the cases were followed up for 3 to 24 months. The maximum urine flow rate was 15-22 ml/s in 13 cases and 10-14 ml/s in 7. One case received urethral anastomosis 3 months later because of urethrostenosis.
CONCLUSIONSUrethral realignment with the urethral guidance probe is a safe, convenient and effective surgical strategy for the management of urethral disruption.
