Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter

Bladder neck closure after severe polytrauma with an absent urethra poses a huge challenge for a young woman wanting to urinate normally. Considerations are reconstruction of a neourethra and operative means to gain continence. We describe a case of trigonal tubularization to function as a neourethr...

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Autores principales: Kivi, Martin, Ahlberg, Armen, Okas, Rauno, Stuehmeier, Jannik, Pedrini, Marco, Rehder, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260669/
https://www.ncbi.nlm.nih.gov/pubmed/32489902
http://dx.doi.org/10.1016/j.eucr.2020.101279
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author Kivi, Martin
Ahlberg, Armen
Okas, Rauno
Stuehmeier, Jannik
Pedrini, Marco
Rehder, Peter
author_facet Kivi, Martin
Ahlberg, Armen
Okas, Rauno
Stuehmeier, Jannik
Pedrini, Marco
Rehder, Peter
author_sort Kivi, Martin
collection PubMed
description Bladder neck closure after severe polytrauma with an absent urethra poses a huge challenge for a young woman wanting to urinate normally. Considerations are reconstruction of a neourethra and operative means to gain continence. We describe a case of trigonal tubularization to function as a neourethra, together with the implantation of an artificial urinary sphincter. Eleven years after suffering from an open book pelvic rim fracture at 18 years, successful reconstruction of a trigonal neourethra enabled continence and residual-free spontaneous voiding at 29 years.
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spelling pubmed-72606692020-06-01 Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter Kivi, Martin Ahlberg, Armen Okas, Rauno Stuehmeier, Jannik Pedrini, Marco Rehder, Peter Urol Case Rep Trauma and Reconstruction Bladder neck closure after severe polytrauma with an absent urethra poses a huge challenge for a young woman wanting to urinate normally. Considerations are reconstruction of a neourethra and operative means to gain continence. We describe a case of trigonal tubularization to function as a neourethra, together with the implantation of an artificial urinary sphincter. Eleven years after suffering from an open book pelvic rim fracture at 18 years, successful reconstruction of a trigonal neourethra enabled continence and residual-free spontaneous voiding at 29 years. Elsevier 2020-05-25 /pmc/articles/PMC7260669/ /pubmed/32489902 http://dx.doi.org/10.1016/j.eucr.2020.101279 Text en © 2020 The Authors 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 Trauma and Reconstruction
Kivi, Martin
Ahlberg, Armen
Okas, Rauno
Stuehmeier, Jannik
Pedrini, Marco
Rehder, Peter
Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter
title Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter
title_full Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter
title_fullStr Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter
title_full_unstemmed Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter
title_short Female urethral avulsion and bladder neck closure: What now? Trigonal tubularization with placement of an artificial urinary sphincter
title_sort female urethral avulsion and bladder neck closure: what now? trigonal tubularization with placement of an artificial urinary sphincter
topic Trauma and Reconstruction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260669/
https://www.ncbi.nlm.nih.gov/pubmed/32489902
http://dx.doi.org/10.1016/j.eucr.2020.101279
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