Penetrating Posterior Urethral Injuries: Case Report and Management Strategies.
| Title: | Penetrating Posterior Urethral Injuries: Case Report and Management Strategies. |
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| Authors: | Tabei, Seyed Sajjad1 (AUTHOR), Lippold, Brandon2 (AUTHOR), Baas, Wesley1 (AUTHOR), Murphy, Gregory2 (AUTHOR) murphyg@wustl.edu, Chen, Tun-Chieh (AUTHOR) idchen.tunchieh@gmail.com |
| Source: | Case Reports in Urology. 7/26/2024, Vol. 2024, p1-6. 6p. |
| Subject Terms: | *URETHRA diseases, *URINARY catheters, *URINARY diversion, *NECK injuries, *GUNSHOT wounds |
| Abstract: | Penetrating posterior urethral trauma from gunshot wounds (GSW) is rare and requires prompt treatment to minimize complications. Data regarding the management of such cases is scarce in the literature and poorly addressed in the guidelines. Different management approaches exist, including urinary diversion with immediate versus delayed urethroplasty/fistula repair. We present our case series to add to our experience to the literature. Three patients aged 18–44 presented with ballistic posterior urethra injuries from GSW. Initial management involved urethral catheter placement, with one patient requiring operative placement of urethral and suprapubic catheters (SPTs). Complications included recurrent membranous stricture, urinary retention, rectourethral fistula, and erectile dysfunction (ED). Posterior urethral injuries from GSW are complex as they can be either isolated or affect adjacent organs. Bladder, ureteral, and urethral injuries must be ruled out. Unlike bladder neck injuries, immediate urethroplasty/fistula repair would be very challenging and not advised for standard prostatic or membranous injuries. Urethral catheter or suprapubic tube is recommended and can result in fistula closure and urethral patency. It is critical to maintain close follow‐up with the patient due to the possibility of stricture recurrence. Urethroplasty in a delayed fashion can be very successful. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Penetrating Posterior Urethral Injuries: Case Report and Management Strategies. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Tabei%2C+Seyed+Sajjad%22">Tabei, Seyed Sajjad</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lippold%2C+Brandon%22">Lippold, Brandon</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baas%2C+Wesley%22">Baas, Wesley</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murphy%2C+Gregory%22">Murphy, Gregory</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> murphyg@wustl.edu</i><br /><searchLink fieldCode="AR" term="%22Chen%2C+Tun-Chieh%22">Chen, Tun-Chieh</searchLink> (AUTHOR)<i> idchen.tunchieh@gmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Case+Reports+in+Urology%22">Case Reports in Urology</searchLink>. 7/26/2024, Vol. 2024, p1-6. 6p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22URETHRA+diseases%22">URETHRA diseases</searchLink><br />*<searchLink fieldCode="DE" term="%22URINARY+catheters%22">URINARY catheters</searchLink><br />*<searchLink fieldCode="DE" term="%22URINARY+diversion%22">URINARY diversion</searchLink><br />*<searchLink fieldCode="DE" term="%22NECK+injuries%22">NECK injuries</searchLink><br />*<searchLink fieldCode="DE" term="%22GUNSHOT+wounds%22">GUNSHOT wounds</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Penetrating posterior urethral trauma from gunshot wounds (GSW) is rare and requires prompt treatment to minimize complications. Data regarding the management of such cases is scarce in the literature and poorly addressed in the guidelines. Different management approaches exist, including urinary diversion with immediate versus delayed urethroplasty/fistula repair. We present our case series to add to our experience to the literature. Three patients aged 18–44 presented with ballistic posterior urethra injuries from GSW. Initial management involved urethral catheter placement, with one patient requiring operative placement of urethral and suprapubic catheters (SPTs). Complications included recurrent membranous stricture, urinary retention, rectourethral fistula, and erectile dysfunction (ED). Posterior urethral injuries from GSW are complex as they can be either isolated or affect adjacent organs. Bladder, ureteral, and urethral injuries must be ruled out. Unlike bladder neck injuries, immediate urethroplasty/fistula repair would be very challenging and not advised for standard prostatic or membranous injuries. Urethral catheter or suprapubic tube is recommended and can result in fistula closure and urethral patency. It is critical to maintain close follow‐up with the patient due to the possibility of stricture recurrence. Urethroplasty in a delayed fashion can be very successful. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Case Reports in Urology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1155/2024/7839379 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 1 Subjects: – SubjectFull: URETHRA diseases Type: general – SubjectFull: URINARY catheters Type: general – SubjectFull: URINARY diversion Type: general – SubjectFull: NECK injuries Type: general – SubjectFull: GUNSHOT wounds Type: general Titles: – TitleFull: Penetrating Posterior Urethral Injuries: Case Report and Management Strategies. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Tabei, Seyed Sajjad – PersonEntity: Name: NameFull: Lippold, Brandon – PersonEntity: Name: NameFull: Baas, Wesley – PersonEntity: Name: NameFull: Murphy, Gregory – PersonEntity: Name: NameFull: Chen, Tun-Chieh IsPartOfRelationships: – BibEntity: Dates: – D: 26 M: 07 Text: 7/26/2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 2090696X Numbering: – Type: volume Value: 2024 Titles: – TitleFull: Case Reports in Urology Type: main |
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