Clinical Observation on Posterior Urethral Injury and Long Term Followup.
- Author:
Sae Woong KIM
1
;
Soo Kil LIM
Author Information
1. Department of Urology, Catholic University, Medical College, seoul, Korea.
- Publication Type:Original Article
- Keywords:
Injury;
Urethra;
Urethroplasty
- MeSH:
Accidents, Traffic;
Adult;
Age Distribution;
Child;
Constriction, Pathologic;
Erectile Dysfunction;
Follow-Up Studies*;
Humans;
Inlays;
Male;
Pelvic Bones;
Surveys and Questionnaires;
Skin;
Urethra;
Urethral Stricture;
Urology
- From:Korean Journal of Urology
1990;31(5):690-696
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From January 1970 to December 1988, 114 patients underwent urethroplasty for traumatic complete disruption of posterior urethra in the Department of Urology, Catholic University Medical College and were followed for 2 to 17 years. The results were as follows : 1. In age distribution age of 73 patients (62%) ranged from 10 to 39 years. 23 patients ( 20.2%) were children and 91 (79.8%) were adults. The most common cause of posterior urethral stricture was traffic accident ( 56.1%) and the most common associated injury was pelvic bone fracture (75.4%). 2. Initial success rate in voiding after primary operation was 78.9 % (90/114 patients) and there was no significant difference of initial success rate in voiding between primary realignment group (81.6%. 31/38 patients) and delayed end-to-end anastomosis group (79.4%. 50/63 patients). 3. In cases of long stricture and multiple failure of urethroplasty, extensive urethroplasties such as skin inlay urethroplasty (17 cases), transpubic urethroplasty (9 cases) and pedicled scrotal skin substitution (3 cases) were required. 4. 111 patients were finally achieved success in voiding postoperatively ( 97.4%, 111/114 patients). 5. According to the 72 patients who have been followed up by interview and questionnaire, late complication rate ( stricture, impotence and incontinence) of the delayed end-to-end anastomosis group (20.0%, 11.1%, 15.6% ) was lower than that of the primary realignment group (27.3 %, 31.8%, 22.7%).
