Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 5

Urethroplasty for Traumatic Urethral Stricture Sudanese Experience

Mohammed Babiker Khidir Khalaf Allah, Nasr Abd Almaged Ramada, Musaab Mohamed Abdalla*, Mohamed Alkhatem and Elhadi Abdelrahim

Surgery Department, Karary University, Sudan

*Corresponding Author: Musaab Mohamed Abdalla, Surgery Department, Karary University, Sudan.

Received: April 03, 2023; Published: April 12, 2023

Abstract

The treatment of traumatic urethral stricture is one of the most challenging situations for the urologist and a very troublesome condition for the patient and has one main aim - to allow the patient to void with a satisfactory stream and control. Every case is to be judged individually to select best options of available modalities. In this article we review. Forty six patients 45 of them were males. The majority age is from 20-34 years, 73.9% are Soldiers, 56.5% had urethral injury as a result of road traffic accidents, fracture of pelvis was seen in 39.1% patients and all had blind or long posterior urethral strictures in dynamic retrograde urethrogram (p > .001), 45.6% were previously manipulated, 94.1% patients of those need another interventions after reconstruction. The success rate of optical urethrotomy and perineal urethroplasty without previous manipulation was 83.3% and 93.75% respectively.

Keywords: Acetabular Bone; Hip Revision Surgery; Radiographic; Porous Metal

References

  1. Blandy JP.” Urethral stricture”. Postgraduate Journal 56 (1980): 383-418.
  2. Kropp KA. “Male urethral stricture”. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW (ed) Adult and pediatric urology, Year Book Medical, Chicago (1978): 1297-1314.
  3. Wiliam MJ. “Disorder of penis and urethra”. 13th ed, London, (1992): 104-106.
  4. Susan Standring. Male urethra, Gray’s Anatomoy, The Anatomical Basis of Clinical Practise, 39th ed, London, 2008.
  5. Brooks JD., et al. “Anatomy of the rectourethralis muscle”. European Urology 41 (2002): 94-100.
  6. McMinn RMH. Male urethra, LAST’S ANATOMY, 9th ed, Churchill Livingstone (2005): 408-410.
  7. Levine JI. “Major abdominal injuries associated with pelvic fracture”. The Journal of Urology (1963): 219-225.
  8. Wilkinson FO. “Rupture of the posterior urethra with review of twelve cases”. Lancet 7187 (1961): 1125-1129.
  9. Cass AS and Godec CJ. “Urethral injury due to external trauma”. Urology 11 (1978): 607-611.
  10. Pratap AAC., et al. “Complex posterior urethral disruptions: management by combined abdominal transpubic perineal urethroplasty”. The Journal of Urology 175 (2006): 1751-1754.
  11. Morey AF and McAninch JW. “Reconstruction of posterior urethral disruption injuries: outcome analysis in 82 patients”. The Journal of Urology 157 (1997): 506-510.
  12. Dask CA., et al. “Traumatic posterior urethral disruptions in boys: experience with the perineal/perineal-transpubic approach in ten cases”. Pediatric Surgery International 449 (2004): 20-54.
  13. Antoci JP. “Bladder and urethral injuries in patients with pelvic fractures”. The Journal of Urology 128 (1982): 25-29.
  14. Morey AF and Rozanski TA. “Urethral stricture disease”. Campbell-Walsh Urology, 9th ed, Philedelphia, Saunders, (2007): 2658-2691.
  15. Barbagli G., et al. “Retrospective outcome analysis of one stage penile urethroplasty using a flap or graft in a homogeneous series of patients”. BJUI 102 (2008): 853-860.
  16. Lumenn NH. “Pernieal anastomotic urethroplasty for post-traumatic urethral injury”. The Journal of Urology 181 (2009): 1196-1200.
  17. Singh BP. “Impact of prior urethral manipulation on outcome of anastomotic urethroplasty for post-traumatic urethral stricture”. Urology 1 (2010): 179-182.
  18. Culty T., et al. “Post-traumatic rupture of the urethra: a series of 105 cases”. Urology 1 (2007): 83-91.
  19. Shah HN., et al. “Immediate endoscopic management of complete iatrogenic anterior urethral injuries”. BMC Urology 5 (2005): 13.
  20. Cooperberg MR., et al. “Urethral reconstruction for traumatic posterior urethral disruption”. The Journal of Urology 178 (2007): 22.
  21. Zhou ZS., et al. “Operative techniques of anastomotic posterior urethroplasty for traumatic posterior urethral strictures”. Chinese Journal of Traumatology 2 (2007): 101-104.
  22. Podesta ML., et al. “Immediate management of posterior urethral disruptions due to pelvic fracture: therapeutic alternatives”. The Journal of Urology 157 (1997): 1444-1448.
  23. Elliot DS. “Long-term follow up and evaluation of primary realignment of posterior urethral disruptions”. The Journal of Urology 157 (1997): 814-816.
  24. Hussmann DA., et al. “Prostatomembranous urethral disruptions: management by suprapubic cystotomy and delayed urethroplasty”. The Journal of Urology 144 (1990): 76-78.
  25. Koraitim MM. “Pelvic fracture urethral injuries: evaluation of various methods of management”. The Journal of Urology 1288 (1996): 156-191.
  26. Webster GD and Sell C. “Proststomembranous urethral injuries: a review of the literature and a rational approach to their management”. The Journal of Urology 130 (1983): 898-902.
  27. Kotkin KM. “Impotence and incontinence after immediate realignment of posterior urethral trauma: result of injury or management?”. The Journal of Urology 155 (1996): 1600-1603.
  28. Feng XY., et al. “Risk factors for erectile dysfunction in patients with urethral strictures secondary to blunt trauma”. Journal of Sexual Medicine 5 (2008): 2656-2661.
  29. Gundogdu TF., et al. “Primary realignment of posterior urethral rupture in children”. British Journal of Urology 65 (2008): 650-652.
  30. Orabi BH., et al. “Post-traumatic posterior urethral stricture in children: how to achieve a successful repair”. Journal of Peadiatric Urology 4 (2008): 290-294.
  31. Anger JT and Webster GD. “Ejaculatory profile and fertility in men after posterior urethroplasty for pelvic fracture-urethral distraction defect injuries”. BJU International 102 (2008): 351-353.
  32. Arslan H., et al. “Long-term urologic, orthopedic and psychological outcome of posterior urethral rupture in children”. The Journal of Urology 66 (2005): 174-179.
  33. Morey AF and McAninch JW. “Reconstructive surgery for trauma of the lower urinary tract”. Urologic Clinics of North America 26 (1999): 49-60.
  34. Mga SC and Sell C. “Prostatomembranous urethral injuries”. The Journal of Urology 130 (1983): 898-902.
  35. Glass RE., et al. “Urethral injury and fracture pelvis”. BJU International 50 (1978): 578.
  36. Follis HW and Kmamw SC. “Immediate management of prostatomembranous urethral disruptions”. The Journal of Urology 147 (1992): 1259-1262.
  37. Guille CB., et al. “Early endoscopic realignment of complete traumatic rupture of posterior urethra”. BJU International 68 (1991): 178-180.
  38. Carr LK and John WG. “Posterior urethral reconstruction: perineal approach”. Urologic Clinics of North America 5 (1997): 125-137.
  39. McAninch JW. “Traumatic injuries to the urethra”. Journal of Trauma 21 (1981): 291.
  40. Perry MO. “Urethral injuries in female subjects following pelvic fracture”. The Journal of Urology 147 (1992): 139.
  41. Heyns CF., et al. “Treatment of male urethral strictures: is repeated diltatin or internal urethrotomy useful?”. The Journal of Urology 160 (1998): 3.
  42. Rosette JJ., et al. “Urethroplasty using the pedicle island flap technique in complicated urethral strictures”. The Journal of Urology 146 (1991): 40-42.
  43. Goel MC., et al. “Endoscopic management of traumatic posterior urethral stricture: early result and follow-up”. The Journal of Urology1 (1997): 95-97.
  44. Morey AF and McAninch JW. “Reconstruction of posterior urethral disruption injuries: outcome analysis in 82 patients”. The Journal of Urology 157 (1997): 506-510.
  45. Herschorn ST. “The value of immediate or early catheterization of traumatized posterior urethra”. The Journal of Urology 148 (1992): 1428-1431.

Citation

Citation: Musaab Mohamed Abdalla., et al. “Urethroplasty for Traumatic Urethral Stricture Sudanese Experience”.Acta Scientific Orthopaedics 6.5 (2023): 48-55.

Copyright

Copyright: © 2023 Musaab Mohamed Abdalla., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US