Experience of Perineo-Abdominal Progression Approach for Complicated Posterior Urethral Injury in Children.
- Author:
Jun Hyun LEE
1
;
Jae Seog HYUN
;
Kyung Do KIM
Author Information
1. Department of Urology, College of Medicine, Chung-Ang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Urethral injury;
Perineo-abdominal progression approach;
Omental graft
- MeSH:
Child*;
Fibrosis;
Humans;
Mental Competency;
Neck;
Pelvic Bones;
Transplants;
Urinary Bladder
- From:Korean Journal of Urology
1995;36(7):767-771
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In complicated posterior urethral injury following pelvic bone fracture, the commonest cause of incompetence of the bladder neck is the circumferential tethering by hematoma-fibrosis. In such cases, functional competence of bladder neck can be restored by mobilizing the bladder neck, by removing retropubic fibrosis, and by occluding the dead space with omental pedicle graft. Also the reliability of the urethral anastomosis can be greatly increased by the obliteration of any perianastomotic dead space with a pedicled omental graft This kind of operation is called Turner-Warwick perineo-abdominal progression approach and we experienced 3 cases in children.
