Cargando…

Current management of pelvic fracture urethral injuries: to realign or not?

The acute management of pelvic fracture urethral injuries (PFUIs) remains a controversial topic. Currently, suprapubic tube (SPT) placement with delayed repair or primary realignment (PR) represents the strategies used to treat patients. While many will advocate the use of one technique over the oth...

Descripción completa

Detalles Bibliográficos
Autores principales: Dixon, Ashley N., Webb, Jack C., Wenzel, Jessica L., Wolf, J. Stuart, Osterberg, E. Charles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127541/
https://www.ncbi.nlm.nih.gov/pubmed/30211049
http://dx.doi.org/10.21037/tau.2018.01.14
_version_ 1783353494096314368
author Dixon, Ashley N.
Webb, Jack C.
Wenzel, Jessica L.
Wolf, J. Stuart
Osterberg, E. Charles
author_facet Dixon, Ashley N.
Webb, Jack C.
Wenzel, Jessica L.
Wolf, J. Stuart
Osterberg, E. Charles
author_sort Dixon, Ashley N.
collection PubMed
description The acute management of pelvic fracture urethral injuries (PFUIs) remains a controversial topic. Currently, suprapubic tube (SPT) placement with delayed repair or primary realignment (PR) represents the strategies used to treat patients. While many will advocate the use of one technique over the other, the 2014 American Urological Association (AUA) Guidelines give providers the option for the management PFUI. Current literature evaluates these two interventions, focusing on the incidence of re-stricture formation, erectile dysfunction, and urinary incontinence. Here we perform a comprehensive review of the current management for PFUI, as well as, discuss the limitations of the studies and need for more prospective studies on this debated topic.
format Online
Article
Text
id pubmed-6127541
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher AME Publishing Company
record_format MEDLINE/PubMed
spelling pubmed-61275412018-09-12 Current management of pelvic fracture urethral injuries: to realign or not? Dixon, Ashley N. Webb, Jack C. Wenzel, Jessica L. Wolf, J. Stuart Osterberg, E. Charles Transl Androl Urol Review Article The acute management of pelvic fracture urethral injuries (PFUIs) remains a controversial topic. Currently, suprapubic tube (SPT) placement with delayed repair or primary realignment (PR) represents the strategies used to treat patients. While many will advocate the use of one technique over the other, the 2014 American Urological Association (AUA) Guidelines give providers the option for the management PFUI. Current literature evaluates these two interventions, focusing on the incidence of re-stricture formation, erectile dysfunction, and urinary incontinence. Here we perform a comprehensive review of the current management for PFUI, as well as, discuss the limitations of the studies and need for more prospective studies on this debated topic. AME Publishing Company 2018-08 /pmc/articles/PMC6127541/ /pubmed/30211049 http://dx.doi.org/10.21037/tau.2018.01.14 Text en 2018 Translational Andrology and Urology. All rights reserved.
spellingShingle Review Article
Dixon, Ashley N.
Webb, Jack C.
Wenzel, Jessica L.
Wolf, J. Stuart
Osterberg, E. Charles
Current management of pelvic fracture urethral injuries: to realign or not?
title Current management of pelvic fracture urethral injuries: to realign or not?
title_full Current management of pelvic fracture urethral injuries: to realign or not?
title_fullStr Current management of pelvic fracture urethral injuries: to realign or not?
title_full_unstemmed Current management of pelvic fracture urethral injuries: to realign or not?
title_short Current management of pelvic fracture urethral injuries: to realign or not?
title_sort current management of pelvic fracture urethral injuries: to realign or not?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127541/
https://www.ncbi.nlm.nih.gov/pubmed/30211049
http://dx.doi.org/10.21037/tau.2018.01.14
work_keys_str_mv AT dixonashleyn currentmanagementofpelvicfractureurethralinjuriestorealignornot
AT webbjackc currentmanagementofpelvicfractureurethralinjuriestorealignornot
AT wenzeljessical currentmanagementofpelvicfractureurethralinjuriestorealignornot
AT wolfjstuart currentmanagementofpelvicfractureurethralinjuriestorealignornot
AT osterbergecharles currentmanagementofpelvicfractureurethralinjuriestorealignornot