Outcome of Management of Complex Posterior Urethral Disruption by Abdomino-Perineal Urethroplasty, OMH, Sudan
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 8
Abstract
We present our short-term result of abdomino-perinealurethroplasty(APU) for complex posterior urethral disruption. This is a retro-prospective study conducted at Omdurman Military Hospital during the period from Jan. 2012 to Feb. 2015. It includes all male patients underwent (APU). Follow up consisted of clinical and radiological assessment. The mean age of the patients was 35.4 ± 16. 7 years. Pelvic fractures were seen in 20(44.4%). Twenty five(55.5%) of patients had underwent at least 1 prior procedure for stricture management,13(28.9%) patients had underwent previous perinealurethroplasty. In 11(24.4%) of our patients, the disease recurred and open surgical revision was required in 5(11.1%), and the other 6(13.3%) were managed by visual internal urethrotomy. In none of the other patients was a secondary procedure required. Thus, the primary success rate was 75.6% and the overall success rate was 88.9%. Incontinence was seen in 6 out of 45 patients (13.3%) of which 2 improved within 6 months of surgery with perineal exercises and the other 4(8.9%) remained incontinent. Abdomino-perinealurethroplasty is a safe procedure in traumatic complex posterior urethral disruption in children and adults. It allows wide exposure to create tension-free urethral anastomosis without significantly affecting urine stream or continence. Keywords: Stricture, urethroplasty, Urethra , Pelvic fracture , Urethrogram
Authors and Affiliations
Ahmed A. M, Nasr R. A, Aamir H. A, Nyagan H. K. Sakit
Keywords
Related Articles
- EP ID EP373992
- DOI -
- Views 48
- Downloads 0
A Comparative Study of Outcome of Percutaneous Lateral and Crossed Pinning in the Treatment of Type III Supracondylar Fractures of Humerus in Children
Abstract: The aim of present study was to evaluate the two different methods of percutaneous pinning in the management of type III supra condylar fractures in children. The study was conducted at a tertiary care medical...
The Etiology of Penetrating Ocular Injuries in Children in India & Their Visual Outcome
Abstract: The objective of this study is to evaluate the etiology of penetrating ocular injuries in children in India and their visual outcome.All cases of penetrating ocular injuries in children (<16 years age) presenti...
Effects of the peanut oil on blood lipid and blood pressure of healthy normolipidemic individuals
Peanut oil has been associated with reduced level of plasma cholesterol and triglyceride, possibly due to its high monounsaturated (MUFA) lipid profile. This study evaluated the effects of peanut oil intake on blood lipi...
Sexually Active Urethral Stricture Patients with Catheter- A Survey of Quality of Life
Abstract: Urethral stricture disease is a common urologic condition which occurs mainly in men and causes obstructive voiding symptoms, often requires appropriate surgical intervention. It can present with acute urinary...
Biofilm production and antibiotic resistance among uropathogens causing bacteriuria in diabetic individuals
High glucose in the urine and defective host immune response factors is responsible for predispose to urinary tract infections (UTIs) among diabetes mellitus patients. Asymptomatic bacteriuria refers to the presence of h...