Evaluation and management of traumatic posterior urethral disruption with flexible cystourethroscopy

Stephanie J. Kielb, Zack L. Voeltz, J. Stuart Wolf

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Background: We sought to consolidate evaluation and management of traumatic urethral disruption using cystourethroscopic evaluation without retrograde urethrogram or suprapubic cystostomy placement. Methods: We review our experience with initial flexible cystourethroscopic evaluation of suspected urethral injury from blunt trauma with placement of a Council urethral catheter to provide primary endoscopic realignment of the urethra. Results: Access into the bladder was achieved in 8 of 10 patients. After a mean follow-up of 18 months (range, 9-27 months) in the six living patients, only three have required treatment for urethral stricture - direct vision internal urethrotomy in two, and open perineal urethroplasty in one. Urinary continence has been achieved in five of six patients. Conclusion: Primary flexible cystourethroscopy with placement of a urethral catheter streamlines evaluation and management of traumatic posterior urethral injury. In the presence of partial disruption it provided stricture-free outcomes in three of three surviving patients.

Original languageEnglish (US)
Pages (from-to)36-40
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume50
Issue number1
DOIs
StatePublished - Jan 1 2001

Keywords

  • Cystoscopy
  • Urethral reconstruction
  • Urethral trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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