Urethral gap in complete disruption of membranous urethra.

Abstract:

:In patients with complete disruption of the membranous urethra treated initially with placement of a suprapubic cystostomy, delayed synchronous retrograde and voiding cystourethrograms failed to demonstrate accurately the distance between the two urethral ends. Radiographic exposure obtained during synchronous instrumentation of the anterior and posterior urethra in the anesthetized patient was the most precise method of defining the extent of the urethral gap. Any surgical decision should be based on this type of investigation. In most cases of pelvic crush injuries, the severed membranous urethra probably remains attached in close proximity to the distal segment, thus directing the redescent of the prostate and bladder base in the presence of a contracting pelvic hematoma.

journal_name

Urology

journal_title

Urology

authors

Lupu AN,Farrer JH,Smith RB,Kaufman JJ

doi

10.1016/0090-4295(87)90500-0

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

378-82

issue

4

eissn

0090-4295

issn

1527-9995

pii

0090-4295(87)90500-0

journal_volume

29

pub_type

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