Recently we experienced 10 cases of posterior urethral injury associated with pelvic fracture. Of these patients 5 underwent primary realignment with perineal traction on the prostate (Selikowitz method), and the other 5 underwent immediate cystostomy and delayed urethroplasty (Johanson method). Comparison of the post-operative complications didn`t appear to show significant differences in the 2 groups, although the numbers were small. But patients who performed immediate cystostomy and delayed urethroplasty showed some disadvantages of the long period of treatment, high charges, often multiple hard procedures and the long time of operation. Therefore in the initial management of posterior urethral injury, we think it better to take primary realignment in Korean socioeconomic circumstances, if the patient is not in the high risk.
Cystostomy ; Humans ; Prostate ; Traction

Nguyen Thanh Nhu has made a modified trocar: The Saigon trocar (patent pending) easy to be made in Vietnam, easy to use, safe, easy to maintenance and sterilisation, used with a 18F Foley catheter. We have performed cystostomies by using the Saigon trocar to put Foley catheters of 18F for 70 patients and by open surgery to put Foley catheters of 22F for 40 patients at Binh Dan hospital and 115 People Hospital in 1999. No operative complication has been recorded for trocar cystostomy: however, 7 failed cases because the procedure has not been carried out properly, had to be switched to open surgery. Using the Saigon trocar to perform suprapublic cystostomy reduces significantly procedure time and post-operative days, therefore the treatment cost is reduced (roughly 500000 VND/case). To prevent from complications, the procedure must be right indicated and done with good care (bladder volume >330ml, puncture perpendicularly to the abdominal wall).
Cystostomy ; Surgical Instruments ; surgery

Urethroplasty was done in 6 patients with posterior urethral disruption with pubectomy and end to end anastomosis or full thickness tube graft of the urethra. The following results were obtained. 1. Transpubic approach provided excellent access to posterior urethra in every case. 2. Immediate cystostomy was done in all cases and reconstruction of the urethra later. 3. One of two tube graft and three of four end to end anastomosis were successful. 4. There were no orthopedic problem, incontinence or sexual impotency.
Cystostomy ; Humans ; Orthopedics ; Transplants ; Urethra

Metastatic urethral tumor is extremely rare. We report a case of anterior urethral and hepatic metastasis from a rectal adenocarcinoma developed 17 months after radical resection of rectal cancer. The patient was performed suprapubic cystostomy for management of voiding difficulty, thereafter, died 4 months after presentation.
Adenocarcinoma* ; Cystostomy ; Humans ; Neoplasm Metastasis* ; Rectal Neoplasms

A clinical observation was made on the anterior urethral injuries of the inpatients in the Department of Urology, Maryknoll HospitaI Juring the period from July 1, 1978 to December 3I. 1979. The following results were obtained. I. During the period the total number of patients with anterior urethral injury was 23 cases 2. Most favorable age was 20 to 40 years which was about 70%. 3. Fall from a height was the most common cause of anterior urethral injury. 4. Average duration of removal of suprapubic catheter was 18 days. 5. Average duration of first voiding after cystostomy was 8 days 6. Period of average admission was 25 days. 7. Partial urethral rupture showed better result than complete urethral rupture 8. Among 23 patients with anterior urethral injuries I8 cases were treated after cystostomy. with percutaneous cystostomy. Of these patients I3 cages recovered with good results.
Catheters ; Cystostomy* ; Humans ; Inpatients ; Rupture ; Urology

The causes of urethrorectal fistula are multiple such as trauma, open prostatectomy, radiation therapy, infection and congenital anomaly and so forth. In considering the injured area, length and the condition or periurethral tissue, numerous approaches have been advocated for the treatment of the traumatic urethrorectal fistula. Herein we report the experience of successful transsacral repair of traumatic urethrorectal fistula in a 14 year-old male patient 3 months after cystostomy and colostomy installed.
Adolescent ; Colostomy ; Cystostomy ; Fistula* ; Humans ; Male ; Prostatectomy

The technique of synchronous pressure-flow studies requires the use of either a transurethral or a suprapubic catheter. Although the flow is impaired by the presence of catheter, the use of transurethral catheter can eliminate unnecessary cystostomy procedure. We evaluated the effect of urethral catheter on the roflow. The maximal and average urinary flow rates of healthy volunteer of 24 male and 7 female were measured in the presence and absence of a 5Fr. and 8Fr. urethral catheter. A comparison of these flow rates showed that those measured with the catheter in situ were lower than those in the absence of a catheter. There was an insignificant decrease in maximal flow rate(MFR) from 20.8+/-6.3(ml/sec) to 20.4+/-4.9 and 19.0+/-5.2 with 5Fr. and 8Fr. urethral catheter, respectively The average flow rate(AFR) was also decreased insignificantly from 10.7+/-3.8(ml/sec) to 9.5+/-2.3 and 8.8+/-2.3 with 5Fr. and 8Fr. urethral catheter, respectively. The followings are correlation formulae of AFR and MFR according to diameter of urethral catheter in situ. MFR=0.79xMFR(5Fr.) + 4.71 (R square=0.37), MFR=0.74xMFR (8Fr.) + 6.92 (R square=0.32), AFR=1.00xAFR(5Fr.) + 1.48 (R square=0.35), AFR=1.23xAFR(8Fr.) - 0.15 (R square=0.59) (MFR : maximal flow rate, AFR : average flow rate).
Catheters ; Cystostomy ; Female ; Healthy Volunteers ; Humans ; Male ; Urinary Catheters*

21 patients of urethral injury was made for diversion of urine by suprapubic cystostomy as initial treatment. In our experience suprapubic cystostomy at the time of injury followed 9-17 weeks later by perineal urethroplasty resulted in a low incidence of complication. The following results were obtained. 1. The most common cause of urethral injury was traffic accident. 2. The most common clinical symptom was external urethral bleeding. 3. Among the 13 cases of complete urethral injury, posterior urethral injury was in 11 cases. 4. Of 7 patients with fractured pelvis most had posteriorurethral injuries, except for 1 case of falling inwhich . the injury involved the anterior urethra. 5. Normal micturation was in 2 cases who were performed suprapubic cystostomy alone. 6. Duration from urethral injury from urethroplasty was 9-17 weeks. 7. Urethral stricture and incontinence after urethroplasty were in 1 case each.
Accidents, Traffic ; Cystostomy ; Hemorrhage ; Humans ; Incidence ; Pelvis ; Urethra ; Urethral Stricture

Ilecocecal unit is anatomically and functionally well suited for augmentation cystoplasty. There is no need to artificially create a cap or tailed path because the cecum can be used without such alteration. Herein, we describe as experience with a 14 years old male patient whose bladder capacity was less then 90 ml due to renal tuberculosis. Previously, patient received right nephrectomy and temporary cystostomy to prevent vesicoureteral reflux. Augmentation ileocecocystoplasty was performed Department of Urology in this hospital on patient with good results : considerable enlargement of bladder capacity without vesicoureteral reflux.
Adolescent ; Cecum ; Cystostomy ; Humans ; Male ; Nephrectomy ; Tuberculosis ; Tuberculosis, Renal ; Urinary Bladder ; Urology ; Vesico-Ureteral Reflux

We describe our experience with visual primary urethral realignment, a new approach devised by authors, in the management of 5 male patients with proximal urethral injuries (3 bulbomembranous and 2 bulbous), utilizing a simple procedure with a flexible cystoscope through the tract made by a suprapubic cystostomy using a Campbell trocar set. No significant complication was experienced except for urethral strictures in 3 patients, easily corrected by visual internal urethrotomy. The new technique offers an alternative, much simpler with several advantages over the conventional methods : could be performed under a local anesthesia for the patients without accompanying damage to the intraperitoneal organs, enables the surgeon to visualize the damaged portion of the urethra for more accurate assessment of the damage, and does not require an open laparatomy, thus, offering an economical and a less invasive alternative approach with shorter hospitalization days and reduced pain for the patient.
Anesthesia, Local ; Cystoscopes ; Cystostomy ; Hospitalization ; Humans ; Male ; Surgical Instruments ; Urethra ; Urethral Stricture