Korean J Urol.  2006 Mar;47(3):221-231. 10.4111/kju.2006.47.3.221.

Urethral Injury

• Lee YT

• KMID: 2294166
• DOI: http://doi.org/10.4111/kju.2006.47.3.221

Abstract

Urethral injury due to trauma remains one of the most challenging injuries in surgical practice. It is associated with considerable morbidity, including urinary incontinence, erectile dysfunction, and urethral strictures. Posttraumatic urethral injury have special features that warrant consideration in their management. The aim of rational therapy should be a continent and potent patient with no stricture. Currently urethral stricture disease is relatively common, most strictures being acquired from injury including trauma, iatrogenic causes such as urological instrumentation and placing indwelling catheters and infection, which result in strictures anywhere in the urethra, are probably the most common cause. When urethral stricture is occurred, selection of the appropriate procedure for each case is crucial for a successful result. The final decision to determine the correct procedure is generally made according to the actual findings at surgery. All types of surgical treatment were equally problematic, with similar complication rates and long-term morbidity. The procedure of choice should be individualized, depending on the anatomy and the extent of the urethral injury, stability of the patient, and presence of associated injuries.

MeSH Terms

Catheters, Indwelling
Constriction, Pathologic
Erectile Dysfunction
Humans
Male
Urethra
Urethral Stricture
Urinary Incontinence

Figure

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  Fig. 1 Algorism of urethral injury.

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  Fig. 2 Schematic view of reconfigured sigmoid colon (RSC) neourethra.

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  Fig. 3 Schematic view of Gracilis-Myo-Bladder Mucosa flap (GMBM) neourethra.

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  Fig. 4 Schematic view of Gracilis-Myo-Grafted Cutaneous flap (GMGC) neourethra.

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