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Salvage posterior urethroplasty after failed initial repair of pelvic fracture membranous urethral defects.

Publication ,  Journal Article
Webster, GD; Ramon, J; Kreder, KJ
Published in: J Urol
December 1990

Experience with 20 salvage urethroplasties in patients with pelvic fracture membranous urethral defects who failed previous delayed urethroplasty is presented. A total of 15 patients was successfully managed by 1-stage procedures, 14 by bulboprostatic reanastomosis and 1 by a tubed pedicled island of skin. Substitution urethroplasty with a staged perineoscrotal skin tube inlay was performed in 5 patients in whom an anastomosis could not be achieved either due to an excessively long urethral defect or inelasticity of the anterior urethra precluding its elongation for an anastomosis free of tension. A successful result was achieved in 19 of the 20 patients (95%). The rationale for procedure selection is discussed.

Duke Scholars

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

December 1990

Volume

144

Issue

6

Start / End Page

1370 / 1372

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urethra
  • Time Factors
  • Surgical Flaps
  • Reoperation
  • Pelvic Bones
  • Male
  • Humans
  • Fractures, Bone
  • Anastomosis, Surgical
 

Citation

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Chicago
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Webster, G. D., Ramon, J., & Kreder, K. J. (1990). Salvage posterior urethroplasty after failed initial repair of pelvic fracture membranous urethral defects. J Urol, 144(6), 1370–1372. https://doi.org/10.1016/s0022-5347(17)39744-6
Webster, G. D., J. Ramon, and K. J. Kreder. “Salvage posterior urethroplasty after failed initial repair of pelvic fracture membranous urethral defects.J Urol 144, no. 6 (December 1990): 1370–72. https://doi.org/10.1016/s0022-5347(17)39744-6.
Webster, G. D., et al. “Salvage posterior urethroplasty after failed initial repair of pelvic fracture membranous urethral defects.J Urol, vol. 144, no. 6, Dec. 1990, pp. 1370–72. Pubmed, doi:10.1016/s0022-5347(17)39744-6.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

December 1990

Volume

144

Issue

6

Start / End Page

1370 / 1372

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urethra
  • Time Factors
  • Surgical Flaps
  • Reoperation
  • Pelvic Bones
  • Male
  • Humans
  • Fractures, Bone
  • Anastomosis, Surgical