Title: Is Endoscopic Realignment an Alternative Option in Urethral Injuries
Authors: K. Goutham Roy, Manjunath Shetty, Mohanchandra Kumar Suvarna
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.38
This study done at Father Muller medical college hospital aimed at throwing light on a less known and rather ignored subject that is urethral injury in all its perspective. We studied the various patterns, etiology, clinical presentations of urethral injury along with diagnostic and therapeutic interventions practiced here. The detailed data analysis revealed the male predominance with younger age group being the victims of urethral injury. The commonest cause being trauma. Bulbar urethral rupture was common compared to membranous part and diagnosis facilitated usually by retrograde urethrogram. Majority of them underwent early endoscopic realignment with or without supra pubic cystostomy prior to it. We stress upon the fact that early realignment of the injured urethra should be first priority. Keywords: urethral injury, endoscopy. 1. Herschorn S, Thijsseh A, Radonski SB, The value of immediate or early catheterization of the traumatized posterior urethra. J. Uro 1972; 148; 1428. 2. Elliot Ds, Barret DM. Long term follow up and evaluation of realignment of posterior urethral desruptions. J uro 1992; 157: 814 3. Mundy AR: The role of delayed repair in the acute management of pelvic fracture injuries of urethra. J. Urol 1991; 68; 273. 4. Catkin J K, Berg G, Carl GH, et al Primary endoscopic realignment following posterior urethral disruption. J. urol 1991: 146: 1548 5. Kerstin MM.Pelvic fracture urethral injuries the unresolved controversies. J Uro 1999:161: 1433. 6. William of Malmesbury. Chronicle of the Kings of England. Translation by Giles JA. London: Henry G Bohn, 1847: 306–11 7. James RR. The medical history of William the Conqueror. Lancet 1937; 1: 115 8. Brewer C. The Death of Kings. A Medical History of the Kings and Queens of England. London: Abson Books, 2000: 21–7 9. Chopart F. Traite Des Maladies Des Voies Urinaires. Vol. 2. Paris: Chez Remont et Fils Libraries, 1821: 239– 40 10. McCague EJ, Semans JH. The management of traumatic rupture of the urethra and bladder complicating fracture of the pelvis. J Urol 1944; 52: 36–41 11. Bailey H, Huddy GP. Extravasation of urine with especial reference to per-urethral abscess. Br J Surg 1924; 12: 183–91 12. Bailey H. Rupture of the urethra. Br J Surg 1927; 15: 370–84 Mar-Apr 2003; 28(2):180-6Abstract
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