Treatment of urethral complete broken injury with double ureteroscopic urethral realignment

VernacularTitle:输尿管镜下双路会师术治疗尿道完全断裂伤
Author: Zhenyu ZHOU
Publication Type:Journal Article
Keywords: Urologic diseases; Ureteroscopes; Urethral realignment
From: Chinese Journal of Postgraduates of Medicine 2015;38(5):328-330
CountryChina
Language:Chinese
Abstract: Objective To investigate the efficacy and safety of treatment of urethral complete broken injury with double ureteroscopic urethral realignment.Methods A clinical data of 26 cases of urethral complete broken injury who had underwent double ureteroscopic urethral realignment were retrospectively analyzed.Results The patients were confirmed by urinary tract imaging for urethral complete broken injury.The catheters were inserted successfully into bladders and removed at 6 weeks after operations.The operative time was 25-53 (39.0 ± 12.4) min.Twenty patients gained fluent urination after removal of catheter,with maximum urine flow 17-28 ml/s after 6 weeks.Six cases had urethral stricture.Among them,2 cases received urethral expansion,3 cases received transurethral cold knife incision,and 1 case received urethral anastomosis.All of them gained fluent urination.Conclusion Treatment of urethral complete broken injury with double ureteroscopic urethral realignment is feasible,superior and reproducible.