Six cases of complete urethral rupture treated by primary endoscopic urethral realignment.
- Author:
Sang Woo KIM
1
;
Joung Sik RIM
Author Information
1. Department of Urology, Wongkwang University, School of Medicine, Iri, Korea.
- Publication Type:Original Article
- Keywords:
urethral injury
- MeSH:
Catheters;
Erectile Dysfunction;
Humans;
Male;
Rupture*;
Surgical Procedures, Operative;
Urethra;
Urethral Stricture
- From:Korean Journal of Urology
1992;33(4):698-705
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Between March 1990 and April 1991. 6 patients presented with complete urethral rupture were treated by primary endoscopic urethral realignment The results were obtained as follows : 1. The ruptured sites were bulbous urethra in 3 cases. 2. The urethral Foley catheter was left indwelling for 25 to 132 days. (average : 66.3 days) 3. After removal of urethral Foley catheter, maximal flow rate was 32.6mI,sec. 4. The complications were impotence in l case and urethral stricture in 4 cases. The first attack of postoperative urethral stricture developed at average 9.9 days. The average length of urethral stricture was 4.5mm and average maximal flow rate was 11.2mI,sec. Urethral stricture was well managed by visual urethrotomy. After visual urethrotomy, maximal flow rate was 25.lml,sec. Therefore, we conclude that primary endoscopic urethral realignment was considered to be safe, simple and effective operative procedure for the treatment of complete urethral rupture.
