The effectiveness of early primary realignment in children with posterior urethral injury
Aim: The aim of this retrospective study was to compare the results of delayed repair and early primary realignments in patients with posterior urethral injury. Methods: From 1990 to 2003, 20 children were admitted to the Medical Faculty of Uluday University, Bursa, Turkey, for posterior urethral...
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| Veröffentlicht in: | International journal of urology 2005-01, Vol.12 (1), p.62-66 |
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| creator | BALKAN, EMIN KILIC, NIZAMETTIN DOGRUYOL, HASAN |
| description | Aim: The aim of this retrospective study was to compare the results of delayed repair and early primary realignments in patients with posterior urethral injury.
Methods: From 1990 to 2003, 20 children were admitted to the Medical Faculty of Uluday University, Bursa, Turkey, for posterior urethral injuries. Traffic accidents were the most common cause of injury (n = 17). Twelve patients (60%) who were referred early (1–10 days) underwent early realignment over a urethral tube. A total of eight patients (40%) underwent delayed repair using transpubic route. In these patients, surgical repair of the urethra was performed 5–6 months later.
Results: Of the 12 patients who underwent early urethral realignment, six required at least one visual internal urethrotomy following the removal of the urethral catheter. Urethral stricture developed in two of 12 patients (16.6%) who underwent early urethral realignment. Of the eight patients who underwent delayed repair, six required at least one visual internal urethrotomy following removal of the urethral catheter. Urethral stricture developed in three of eight patients (37.5%) who underwent delayed repair. This difference was statistically significant (P |
| doi_str_mv | 10.1111/j.1442-2042.2004.00978.x |
| format | Article |
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Methods: From 1990 to 2003, 20 children were admitted to the Medical Faculty of Uluday University, Bursa, Turkey, for posterior urethral injuries. Traffic accidents were the most common cause of injury (n = 17). Twelve patients (60%) who were referred early (1–10 days) underwent early realignment over a urethral tube. A total of eight patients (40%) underwent delayed repair using transpubic route. In these patients, surgical repair of the urethra was performed 5–6 months later.
Results: Of the 12 patients who underwent early urethral realignment, six required at least one visual internal urethrotomy following the removal of the urethral catheter. Urethral stricture developed in two of 12 patients (16.6%) who underwent early urethral realignment. Of the eight patients who underwent delayed repair, six required at least one visual internal urethrotomy following removal of the urethral catheter. Urethral stricture developed in three of eight patients (37.5%) who underwent delayed repair. This difference was statistically significant (P < 0.05).
Conclusion: The urethral stricture in patients who underwent early primary realignment was less developed than the stricture that developed in those who underwent delayed management. According to these results we recommend early primary realignment in children with posterior urethral injury.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/j.1442-2042.2004.00978.x</identifier><identifier>PMID: 15661055</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>Anastomosis, Surgical ; Child ; Child, Preschool ; children ; Female ; Humans ; Male ; posterior urethral injury ; realignment ; Reoperation ; Retrospective Studies ; Time Factors ; Urethra - injuries ; Urethra - surgery ; Urethral Stricture - etiology ; Urethral Stricture - surgery ; Urinary Catheterization ; Urinary Incontinence - etiology ; Urologic Surgical Procedures - methods</subject><ispartof>International journal of urology, 2005-01, Vol.12 (1), p.62-66</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4578-2e94e637fe39be45e34c0fc6b66472a9235679cff90651d63a82994d37a79a93</citedby><cites>FETCH-LOGICAL-c4578-2e94e637fe39be45e34c0fc6b66472a9235679cff90651d63a82994d37a79a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-2042.2004.00978.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-2042.2004.00978.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15661055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BALKAN, EMIN</creatorcontrib><creatorcontrib>KILIC, NIZAMETTIN</creatorcontrib><creatorcontrib>DOGRUYOL, HASAN</creatorcontrib><title>The effectiveness of early primary realignment in children with posterior urethral injury</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Aim: The aim of this retrospective study was to compare the results of delayed repair and early primary realignments in patients with posterior urethral injury.
Methods: From 1990 to 2003, 20 children were admitted to the Medical Faculty of Uluday University, Bursa, Turkey, for posterior urethral injuries. Traffic accidents were the most common cause of injury (n = 17). Twelve patients (60%) who were referred early (1–10 days) underwent early realignment over a urethral tube. A total of eight patients (40%) underwent delayed repair using transpubic route. In these patients, surgical repair of the urethra was performed 5–6 months later.
Results: Of the 12 patients who underwent early urethral realignment, six required at least one visual internal urethrotomy following the removal of the urethral catheter. Urethral stricture developed in two of 12 patients (16.6%) who underwent early urethral realignment. Of the eight patients who underwent delayed repair, six required at least one visual internal urethrotomy following removal of the urethral catheter. Urethral stricture developed in three of eight patients (37.5%) who underwent delayed repair. This difference was statistically significant (P < 0.05).
Conclusion: The urethral stricture in patients who underwent early primary realignment was less developed than the stricture that developed in those who underwent delayed management. According to these results we recommend early primary realignment in children with posterior urethral injury.</description><subject>Anastomosis, Surgical</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>posterior urethral injury</subject><subject>realignment</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Urethra - injuries</subject><subject>Urethra - surgery</subject><subject>Urethral Stricture - etiology</subject><subject>Urethral Stricture - surgery</subject><subject>Urinary Catheterization</subject><subject>Urinary Incontinence - etiology</subject><subject>Urologic Surgical Procedures - methods</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9v2yAYxlG1qU3_fIWK0252-Wcw0i5TtKad2u2QdNVOiDgvC5ljp2C3ybcfbqLsOi4g8fyeF34IYUpymtbNKqdCsIwRwXJGiMgJ0arMtydodLz4gEZEU52VVLEzdB7jihDKGS1P0RktpKSkKEbo12wJGJyDqvOv0ECMuHUYbKh3eBP82oYdDmBr_7tZQ9Nh3-Bq6etFgAa_-W6JN23sIPg24D5Atwy2TplVH3aX6KOzdYSrw36BZrdfZ-O77OHH5H785SGrRKHKjIEWILlywPUcRAFcVMRVci6lUMxqxgupdOWcJrKgC8ltybQWC66s0lbzC_RpX7sJ7UsPsTNrHyuoa9tA20cjFZephKVguQ9WoY0xgDOH_xlKzGDVrMwgzwzyzGDVvFs124ReH2b08zUs_oEHjSnweR948zXs_rvY3H97SoeEZ3vcJ5fbI27Dn-H5qjDP3ydm-nj7c1JOx-aZ_wVPdZXK</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>BALKAN, EMIN</creator><creator>KILIC, NIZAMETTIN</creator><creator>DOGRUYOL, HASAN</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200501</creationdate><title>The effectiveness of early primary realignment in children with posterior urethral injury</title><author>BALKAN, EMIN ; KILIC, NIZAMETTIN ; DOGRUYOL, HASAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4578-2e94e637fe39be45e34c0fc6b66472a9235679cff90651d63a82994d37a79a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Anastomosis, Surgical</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>posterior urethral injury</topic><topic>realignment</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Urethra - injuries</topic><topic>Urethra - surgery</topic><topic>Urethral Stricture - etiology</topic><topic>Urethral Stricture - surgery</topic><topic>Urinary Catheterization</topic><topic>Urinary Incontinence - etiology</topic><topic>Urologic Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BALKAN, EMIN</creatorcontrib><creatorcontrib>KILIC, NIZAMETTIN</creatorcontrib><creatorcontrib>DOGRUYOL, HASAN</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BALKAN, EMIN</au><au>KILIC, NIZAMETTIN</au><au>DOGRUYOL, HASAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effectiveness of early primary realignment in children with posterior urethral injury</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2005-01</date><risdate>2005</risdate><volume>12</volume><issue>1</issue><spage>62</spage><epage>66</epage><pages>62-66</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Aim: The aim of this retrospective study was to compare the results of delayed repair and early primary realignments in patients with posterior urethral injury.
Methods: From 1990 to 2003, 20 children were admitted to the Medical Faculty of Uluday University, Bursa, Turkey, for posterior urethral injuries. Traffic accidents were the most common cause of injury (n = 17). Twelve patients (60%) who were referred early (1–10 days) underwent early realignment over a urethral tube. A total of eight patients (40%) underwent delayed repair using transpubic route. In these patients, surgical repair of the urethra was performed 5–6 months later.
Results: Of the 12 patients who underwent early urethral realignment, six required at least one visual internal urethrotomy following the removal of the urethral catheter. Urethral stricture developed in two of 12 patients (16.6%) who underwent early urethral realignment. Of the eight patients who underwent delayed repair, six required at least one visual internal urethrotomy following removal of the urethral catheter. Urethral stricture developed in three of eight patients (37.5%) who underwent delayed repair. This difference was statistically significant (P < 0.05).
Conclusion: The urethral stricture in patients who underwent early primary realignment was less developed than the stricture that developed in those who underwent delayed management. According to these results we recommend early primary realignment in children with posterior urethral injury.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>15661055</pmid><doi>10.1111/j.1442-2042.2004.00978.x</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0919-8172 |
| ispartof | International journal of urology, 2005-01, Vol.12 (1), p.62-66 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Anastomosis, Surgical Child Child, Preschool children Female Humans Male posterior urethral injury realignment Reoperation Retrospective Studies Time Factors Urethra - injuries Urethra - surgery Urethral Stricture - etiology Urethral Stricture - surgery Urinary Catheterization Urinary Incontinence - etiology Urologic Surgical Procedures - methods |
| title | The effectiveness of early primary realignment in children with posterior urethral injury |
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