Abstract:
OBJECTIVE:We recently described early rigid retrograde endoscopic realignment of the disrupted urethra under caudal anaesthesia in the outpatient setting. This retrospective study was performed to evaluate our medium-term results. PATIENTS AND METHODS:A retrospective review of patients who had early rigid retrograde endoscopic realignment of traumatic urethral disruptions in our institution over a 5-year period was done and the relevant data extracted and analyzed. RESULTS:Fourteen acutely ruptured urethras (10 posterior and four anterior) were endoscopically realigned early in the study period. Nine (90%) of the posterior disruptions occurred at bulbo-membranous urethra (distal to the external sphincter mechanism). Thirteen of the ruptured urethras (93%) were successfully realigned (nine posterior and four anterior) and postoperative clean intermittent self-calibration (CIC) was instituted in 10 patients. The mean follow-up period was 36.6 months (range 18-54 months). The mean operating time and the median hospital stay were 22 min (range 8-68 min) and 3 days (range 1-10 days), respectively, and were shorter in patients with injuries of the anterior urethra than those with posterior urethral tears (p < or = 0.0001). Post-realignment, all 13 patients were potent and continent. Two patients required additional procedures (direct vision internal urethrotomy or urethral dilation) and one patient has remained on CIC i.e. a stricture rate of 21%. CONCLUSION:Early retrograde endoscopic realignment under caudal analgesia is suitable and cost-effective for patients with acute traumatic urethral disruptions and has good medium-term results. In addition, an early postoperative regimen of CIC significantly reduced stricture-formation in our series.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Olapade-Olaopa EO,Atalabi OM,Adekanye AO,Adebayo SA,Onawola KAdoi
10.1111/j.1742-1241.2007.01481.xsubject
Has Abstractpub_date
2010-01-01 00:00:00pages
6-12issue
1eissn
1368-5031issn
1742-1241pii
IJCP1481journal_volume
64pub_type
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journal_title:International journal of clinical practice
pub_type: 杂志文章,评审
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journal_title:International journal of clinical practice
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journal_title:International journal of clinical practice
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journal_title:International journal of clinical practice
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更新日期:2015-11-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 杂志文章
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abstract::The potential effect of orlistat on cardiovascular co-morbidities may have been previously underestimated. This study assesses the efficacy of orlistat therapy for weight loss and cardiovascular risk factor reduction in obese patients with cardiovascular risk. This was a 54-week, double-blind, randomised, placebo-cont...
journal_title:International journal of clinical practice
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title:International journal of clinical practice
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更新日期:2011-05-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2009-03-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 杂志文章,评审
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更新日期:2008-02-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 杂志文章
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更新日期:2013-12-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 杂志文章
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更新日期:2006-10-01 00:00:00
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journal_title:International journal of clinical practice
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更新日期:2015-11-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 杂志文章
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journal_title:International journal of clinical practice
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journal_title:International journal of clinical practice
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更新日期:2006-09-01 00:00:00
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journal_title:International journal of clinical practice
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journal_title:International journal of clinical practice
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2007-11-01 00:00:00
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journal_title:International journal of clinical practice
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:1999-09-01 00:00:00
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更新日期:2020-08-31 00:00:00