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Optimising the outcome after anastomotic posterior urethroplasty

OBJECTIVES: To develop a plan that would optimise the outcome after an anastomotic repair of a pelvic fracture urethral injury (PFUI). METHODS: Data on the delayed repair of PFUI from reports in English were critically reviewed. The search criteria included reports by high-volume surgeons and those...

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Autor principal: Koraitim, Mamdouh M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434834/
https://www.ncbi.nlm.nih.gov/pubmed/26019975
http://dx.doi.org/10.1016/j.aju.2014.12.006
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author Koraitim, Mamdouh M.
author_facet Koraitim, Mamdouh M.
author_sort Koraitim, Mamdouh M.
collection PubMed
description OBJECTIVES: To develop a plan that would optimise the outcome after an anastomotic repair of a pelvic fracture urethral injury (PFUI). METHODS: Data on the delayed repair of PFUI from reports in English were critically reviewed. The search criteria included reports by high-volume surgeons and those from tertiary centres of reconstructive urethral surgery. RESULTS: The delayed repair of a PFUI should not be attempted within 4–6 months of the initial trauma. A tension-free, scar-free and mucosa-to-mucosa urethral anastomosis is critically important for a successful outcome. Urethral defects shorter than a third of the bulbar urethral length can usually be repaired by a simple perineal operation, while longer defects usually need an elaborated perineal or perineo-abdominal transpubic procedure. The finest suture that provides adequate strength should always be used for a urethral anastomosis, generally 3/0 polyglactin 910 for adult patients and 4/0 for children. In transpubic urethroplasty, an omental wrapping of the intra-abdominal segment of the bulbar urethra and the site of anastomosis is mandatory. CONCLUSIONS: Anastomotic repair of a PFUI entails various surgical components, and the importance of each of these should not be underestimated. Careful attention to these surgical components is mandatory for a successful outcome after repair.
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spelling pubmed-44348342015-05-27 Optimising the outcome after anastomotic posterior urethroplasty Koraitim, Mamdouh M. Arab J Urol Delayed Repair of PFUI Review OBJECTIVES: To develop a plan that would optimise the outcome after an anastomotic repair of a pelvic fracture urethral injury (PFUI). METHODS: Data on the delayed repair of PFUI from reports in English were critically reviewed. The search criteria included reports by high-volume surgeons and those from tertiary centres of reconstructive urethral surgery. RESULTS: The delayed repair of a PFUI should not be attempted within 4–6 months of the initial trauma. A tension-free, scar-free and mucosa-to-mucosa urethral anastomosis is critically important for a successful outcome. Urethral defects shorter than a third of the bulbar urethral length can usually be repaired by a simple perineal operation, while longer defects usually need an elaborated perineal or perineo-abdominal transpubic procedure. The finest suture that provides adequate strength should always be used for a urethral anastomosis, generally 3/0 polyglactin 910 for adult patients and 4/0 for children. In transpubic urethroplasty, an omental wrapping of the intra-abdominal segment of the bulbar urethra and the site of anastomosis is mandatory. CONCLUSIONS: Anastomotic repair of a PFUI entails various surgical components, and the importance of each of these should not be underestimated. Careful attention to these surgical components is mandatory for a successful outcome after repair. Elsevier 2015-03 2015-02-25 /pmc/articles/PMC4434834/ /pubmed/26019975 http://dx.doi.org/10.1016/j.aju.2014.12.006 Text en © 2015 Arab Association of Urology. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Delayed Repair of PFUI Review
Koraitim, Mamdouh M.
Optimising the outcome after anastomotic posterior urethroplasty
title Optimising the outcome after anastomotic posterior urethroplasty
title_full Optimising the outcome after anastomotic posterior urethroplasty
title_fullStr Optimising the outcome after anastomotic posterior urethroplasty
title_full_unstemmed Optimising the outcome after anastomotic posterior urethroplasty
title_short Optimising the outcome after anastomotic posterior urethroplasty
title_sort optimising the outcome after anastomotic posterior urethroplasty
topic Delayed Repair of PFUI Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434834/
https://www.ncbi.nlm.nih.gov/pubmed/26019975
http://dx.doi.org/10.1016/j.aju.2014.12.006
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