Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption

The question is whether the urethral sphincter may be reconstructed after longitudinal injury similar to anal sphincter injuries. Analogue to obstetric, anal sphincter repair, an approximation repair of the sphincter may be feasible. An overlap repair is possible in anal sphincter repair, but becaus...

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Autores principales: Rehder, Peter, Schillfahrt, Florian, Skradski, Viktor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166646/
https://www.ncbi.nlm.nih.gov/pubmed/25258694
http://dx.doi.org/10.1155/2014/176073
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author Rehder, Peter
Schillfahrt, Florian
Skradski, Viktor
author_facet Rehder, Peter
Schillfahrt, Florian
Skradski, Viktor
author_sort Rehder, Peter
collection PubMed
description The question is whether the urethral sphincter may be reconstructed after longitudinal injury similar to anal sphincter injuries. Analogue to obstetric, anal sphincter repair, an approximation repair of the sphincter may be feasible. An overlap repair is possible in anal sphincter repair, but because of the little tissue available in the urethral sphincter this is not an option. We describe three cases of urethral sphincter injury of different aetiologies. All resulted in a total longitudinal disruption of the muscular components of the urethral sphincter complex. After making the diagnosis of urethral sphincter injury, a primary approximation repair was done. Follow-up of at least two and up to three years is promising with one male patient being completely continent and the two female patients needing one safety pad per day. Longitudinal disruption of the muscular elements of the sphincteric urethra may be primarily reconstructed with good success using an approximation technique with simple interrupted sutures.
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spelling pubmed-41666462014-09-25 Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption Rehder, Peter Schillfahrt, Florian Skradski, Viktor Case Rep Urol Case Report The question is whether the urethral sphincter may be reconstructed after longitudinal injury similar to anal sphincter injuries. Analogue to obstetric, anal sphincter repair, an approximation repair of the sphincter may be feasible. An overlap repair is possible in anal sphincter repair, but because of the little tissue available in the urethral sphincter this is not an option. We describe three cases of urethral sphincter injury of different aetiologies. All resulted in a total longitudinal disruption of the muscular components of the urethral sphincter complex. After making the diagnosis of urethral sphincter injury, a primary approximation repair was done. Follow-up of at least two and up to three years is promising with one male patient being completely continent and the two female patients needing one safety pad per day. Longitudinal disruption of the muscular elements of the sphincteric urethra may be primarily reconstructed with good success using an approximation technique with simple interrupted sutures. Hindawi Publishing Corporation 2014 2014-09-02 /pmc/articles/PMC4166646/ /pubmed/25258694 http://dx.doi.org/10.1155/2014/176073 Text en Copyright © 2014 Peter Rehder et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rehder, Peter
Schillfahrt, Florian
Skradski, Viktor
Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption
title Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption
title_full Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption
title_fullStr Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption
title_full_unstemmed Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption
title_short Surgical Reconstruction of the Urinary Sphincter after Traumatic Longitudinal Disruption
title_sort surgical reconstruction of the urinary sphincter after traumatic longitudinal disruption
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166646/
https://www.ncbi.nlm.nih.gov/pubmed/25258694
http://dx.doi.org/10.1155/2014/176073
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