Pelvic Fracture Urethral Injury in Females
BackgroundPelvic fracture urethral injuries (PFUI) in females are very rare. The available literature on the management of this condition is scarce and not clear, mainly because of limited experience among reconstructive surgeons. We present our experience of management of these compl...
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| Format: | Article |
| Language: | English |
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The Société Internationale d’Urologie (SIU)
2022-03-01
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| Series: | Société Internationale d’Urologie Journal |
| Subjects: | |
| Online Access: | https://siuj.org/index.php/siuj/article/view/174/105 |
| _version_ | 1797370549784018944 |
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| author | Pankaj M. Joshi Marco Bandini Christian Yepes Shreyas Bhadranavar Vipin Sharma Sandeep Bafna Sanjay B. Kulkarni |
| author_facet | Pankaj M. Joshi Marco Bandini Christian Yepes Shreyas Bhadranavar Vipin Sharma Sandeep Bafna Sanjay B. Kulkarni |
| author_sort | Pankaj M. Joshi |
| collection | DOAJ |
| description | BackgroundPelvic fracture urethral injuries (PFUI) in females are very rare. The available literature on the management of this condition is scarce and not clear, mainly because of limited experience among reconstructive surgeons. We present our experience of management of these complex urethral injuries in female patients.Materials and
MethodsWe collected data, retrospectively and prospectively for 22 female patients referredto our center for PFUI repair between 1995 and 2021. During the clinical assessment of these complex injuries, following our internal institutional protocol, all patients underwent pelvic MRI (bladder and urethra are filled with saline solution and jelly to enhance the urethral lumen and the level of the distraction) before anastomotic urethroplasty.
ResultsPFUI compromised the mid urethra in 10 patients (45.5%). A transabdominal approach was used in 8 patients (80%), and urethra-vaginal fistula repair was undertaken in 6 patients (60%). After a median follow-up of 36 months, only 1 patient with proximal PFUI required a surgical revision without compromising urinary continence.
ConclusionsThe most common site of urethral involvement in pelvic fracture is mid urethral, which is owing to avulsion. Urethra-vaginal fistula should be suspected. Treatment consists in anastomotic urethroplasty, mainly through the abdominal approach. |
| first_indexed | 2024-03-08T18:06:14Z |
| format | Article |
| id | doaj.art-283f7c44b463499dae7e66ec542b8f83 |
| institution | Directory Open Access Journal |
| issn | 2563-6499 |
| language | English |
| last_indexed | 2024-03-08T18:06:14Z |
| publishDate | 2022-03-01 |
| publisher | The Société Internationale d’Urologie (SIU) |
| record_format | Article |
| series | Société Internationale d’Urologie Journal |
| spelling | doaj.art-283f7c44b463499dae7e66ec542b8f832024-01-01T18:17:34ZengThe Société Internationale d’Urologie (SIU)Société Internationale d’Urologie Journal2563-64992022-03-0132778610.48083/MBXR6354Pelvic Fracture Urethral Injury in FemalesPankaj M. JoshiMarco BandiniChristian YepesShreyas BhadranavarVipin SharmaSandeep BafnaSanjay B. KulkarniBackgroundPelvic fracture urethral injuries (PFUI) in females are very rare. The available literature on the management of this condition is scarce and not clear, mainly because of limited experience among reconstructive surgeons. We present our experience of management of these complex urethral injuries in female patients.Materials and MethodsWe collected data, retrospectively and prospectively for 22 female patients referredto our center for PFUI repair between 1995 and 2021. During the clinical assessment of these complex injuries, following our internal institutional protocol, all patients underwent pelvic MRI (bladder and urethra are filled with saline solution and jelly to enhance the urethral lumen and the level of the distraction) before anastomotic urethroplasty. ResultsPFUI compromised the mid urethra in 10 patients (45.5%). A transabdominal approach was used in 8 patients (80%), and urethra-vaginal fistula repair was undertaken in 6 patients (60%). After a median follow-up of 36 months, only 1 patient with proximal PFUI required a surgical revision without compromising urinary continence. ConclusionsThe most common site of urethral involvement in pelvic fracture is mid urethral, which is owing to avulsion. Urethra-vaginal fistula should be suspected. Treatment consists in anastomotic urethroplasty, mainly through the abdominal approach.https://siuj.org/index.php/siuj/article/view/174/105female urethroplastypelvic fracture urethral injuryfistulaurethrastricture |
| spellingShingle | Pankaj M. Joshi Marco Bandini Christian Yepes Shreyas Bhadranavar Vipin Sharma Sandeep Bafna Sanjay B. Kulkarni Pelvic Fracture Urethral Injury in Females Société Internationale d’Urologie Journal female urethroplasty pelvic fracture urethral injury fistula urethra stricture |
| title | Pelvic Fracture Urethral Injury in Females |
| title_full | Pelvic Fracture Urethral Injury in Females |
| title_fullStr | Pelvic Fracture Urethral Injury in Females |
| title_full_unstemmed | Pelvic Fracture Urethral Injury in Females |
| title_short | Pelvic Fracture Urethral Injury in Females |
| title_sort | pelvic fracture urethral injury in females |
| topic | female urethroplasty pelvic fracture urethral injury fistula urethra stricture |
| url | https://siuj.org/index.php/siuj/article/view/174/105 |
| work_keys_str_mv | AT pankajmjoshi pelvicfractureurethralinjuryinfemales AT marcobandini pelvicfractureurethralinjuryinfemales AT christianyepes pelvicfractureurethralinjuryinfemales AT shreyasbhadranavar pelvicfractureurethralinjuryinfemales AT vipinsharma pelvicfractureurethralinjuryinfemales AT sandeepbafna pelvicfractureurethralinjuryinfemales AT sanjaybkulkarni pelvicfractureurethralinjuryinfemales |