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• W2414403742 abstract "No AccessJournal of Urology1 Apr 1991Repair of Pelvic Fracture Posterior Urethral Defects Using an Elaborated Perineal Approach: Experience with 74 Cases George D. Webster, and Jacob Ramon George D. WebsterGeorge D. Webster More articles by this author , and Jacob RamonJacob Ramon More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38442-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A total of 74 patients with posterior urethral distraction defects (1.5 to 7cm. long) that followed pelvic fracture was managed by a 1-stage perineal repair. End-to-end anastomosis was performed in all cases but in 66 a variety of surgical maneuvers were necessary to accomplish a tension-free anastomosis. These techniques, which included distal urethral mobilization, corporeal body separation, inferior pubectomy and supracrural urethral rerouting, were resorted to in a sequential manner as needed. Excellent results were achieved in 96% of the cases. These surgical techniques are described and discussed. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByKulkarni S, Barbagli G, Kulkarni J, Romano G and Lazzeri M (2018) Posterior Urethral Stricture After Pelvic Fracture Urethral Distraction Defects in Developing and Developed Countries, and Choice of Surgical TechniqueJournal of Urology, VOL. 183, NO. 3, (1049-1054), Online publication date: 1-Mar-2010.Lumen N, Hoebeke P, Troyer B, Ysebaert B and Oosterlinck W (2018) Perineal Anastomotic Urethroplasty for Posttraumatic Urethral Stricture With or Without Previous Urethral Manipulations: A Review of 61 Cases With Long-Term FollowupJournal of Urology, VOL. 181, NO. 3, (1196-1200), Online publication date: 1-Mar-2009.Koraitim M (2018) Predictors of Surgical Approach to Repair Pelvic Fracture Urethral Distraction DefectsJournal of Urology, VOL. 182, NO. 4, (1435-1439), Online publication date: 1-Oct-2009.Koraitim M (2018) Gapometry and Anterior Urethrometry in the Repair of Posterior Urethral DefectsJournal of Urology, VOL. 179, NO. 5, (1879-1881), Online publication date: 1-May-2008.Kizer W, Armenakas N, Brandes S, Cavalcanti A, Santucci R and Morey A (2018) Simplified Reconstruction of Posterior Urethral Disruption Defects: Limited Role of Supracrural ReroutingJournal of Urology, VOL. 177, NO. 4, (1378-1382), Online publication date: 1-Apr-2007.Culty T and Boccon-Gibod L (2018) Anastomotic Urethroplasty for Posttraumatic Urethral Stricture: Previous Urethral Manipulation Has a Negative Impact on the Final OutcomeJournal of Urology, VOL. 177, NO. 4, (1374-1377), Online publication date: 1-Apr-2007.Pratap A, Agrawal C, Tiwari A, Bhattarai B, Pandit R and Anchal N (2018) Complex Posterior Urethral Disruptions: Management by Combined Abdominal Transpubic Perineal UrethroplastyJournal of Urology, VOL. 175, NO. 5, (1751-1754), Online publication date: 1-May-2006.Zhang J, Xu Y, Qiao Y, Jin S, Wu D and Gu B (2018) An Evaluation of Surgical Approaches for Posterior Urethral Distraction Defects in BoysJournal of Urology, VOL. 176, NO. 1, (292-295), Online publication date: 1-Jul-2006.Pratap A, Agrawal C, Pandit R, Sapkota G and Anchal N (2018) Factors Contributing to a Successful Outcome of Combined Abdominal Transpubic Perineal Urethroplasty for Complex Posterior Urethral DisruptionsJournal of Urology, VOL. 176, NO. 6, (2514-2517), Online publication date: 1-Dec-2006.KORAITIM M (2018) ON THE ART OF ANASTOMOTIC POSTERIOR URETHROPLASTY: A 27-YEAR EXPERIENCEJournal of Urology, VOL. 173, NO. 1, (135-139), Online publication date: 1-Jan-2005.MOURAVIEV V and SANTUCCI R (2018) CADAVERIC ANATOMY OF PELVIC FRACTURE URETHRAL DISTRACTION INJURY: MOST INJURIES ARE DISTAL TO THE EXTERNAL URINARY SPHINCTERJournal of Urology, VOL. 173, NO. 3, (869-872), Online publication date: 1-Mar-2005.GREENWELL T, CASTLE C, ANDRICH D, MacDONALD J, NICOL D and MUNDY A (2018) REPEAT URETHROTOMY AND DILATION FOR THE TREATMENT OF URETHRAL STRICTURE ARE NEITHER CLINICALLY EFFECTIVE NOR COST-EFFECTIVEJournal of Urology, VOL. 172, NO. 1, (275-277), Online publication date: 1-Jul-2004.FLYNN B, DELVECCHIO F and WEBSTER G (2018) Perineal Repair of Pelvic Fracture Urethral Distraction Defects: Experience in 120 Patients During the Last 10 YearsJournal of Urology, VOL. 170, NO. 5, (1877-1880), Online publication date: 1-Nov-2003.ANDRICH D, GREENWELL T and MUNDY A (2018) The Problems of Penile Urethroplasty with Particular Reference to 2-Stage ReconstructionsJournal of Urology, VOL. 170, NO. 1, (87-89), Online publication date: 1-Jul-2003.ANDRICH D, DUNGLISON N, GREENWELL T and MUNDY A (2018) The Long-Term Results of UrethroplastyJournal of Urology, VOL. 170, NO. 1, (90-92), Online publication date: 1-Jul-2003.ANDRICH D, O’MALLEY K, SUMMERTON D, GREENWELL T and MUNDY A (2018) The Type of Urethroplasty for a Pelvic Fracture Urethral Distraction Defect Cannot be Predicted PreoperativelyJournal of Urology, VOL. 170, NO. 2, (464-467), Online publication date: 1-Aug-2003.CORRIERE J (2018) 1-STAGE DELAYED BULBOPROSTATIC ANASTOMOTIC REPAIR OF POSTERIOR URETHRAL RUPTURE: : 60 PATIENTS WITH 1-YEAR FOLLOWUPJournal of Urology, VOL. 165, NO. 2, (404-407), Online publication date: 1-Feb-2001.ISELIN C and WEBSTER G (2018) THE SIGNIFICANCE OF THE OPEN BLADDER NECK ASSOCIATED WITH PELVIC FRACTURE URETHRAL DISTRACTION DEFECTSJournal of Urology, VOL. 162, NO. 2, (347-351), Online publication date: 1-Aug-1999.Barbagli G, Palminteri E, Bartoletti R, Selli C and Rizzo M (2018) LONG-TERM RESULTS OF ANTERIOR AND POSTERIOR URETHROPLASTY WITH ACTUARIAL EVALUATION OF THE SUCCESS RATESJournal of Urology, VOL. 158, NO. 4, (1380-1382), Online publication date: 1-Oct-1997.Morey A and McAninch J (2018) Reconstruction of Posterior Urethral Disruption Injuries: Outcome Analysis in 82 PatientsJournal of Urology, VOL. 157, NO. 2, (506-510), Online publication date: 1-Feb-1997.Zinman L (2018) Editorial: The Management of Traumatic Posterior Urethral Distraction DefectsJournal of Urology, VOL. 157, NO. 2, (511-512), Online publication date: 1-Feb-1997. Volume 145Issue 4April 1991Page: 744-748 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordspelvic bonesurethraperineumMetricsAuthor Information George D. Webster More articles by this author Jacob Ramon More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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