A Retrospective Look at Term Outcomes After Definitive Surgical Repair for Traumatic Pelvic Fracture Urethral Injuries - Does Initial Management Make a Difference?
Urology
; 160: 203-209, 2022 02.
Article
in En
| MEDLINE
| ID: mdl-34843746
ABSTRACT
OBJECTIVE:
To compare the long-term outcomes of initial management of pelvic fracture urethral injury (PFUI) in a large cohort of trauma patients undergoing urethral reconstruction. MATERIALS ANDMETHODS:
119 patients underwent urethral reconstruction by a single surgeon for PFUI at our center between 1998-2018. We compared initial PFUI management - primary realignment vs suprapubic tube (SPT) insertion alone. Multivariable Cox proportional hazard analysis was used to assess the association between primary intervention and the risk of having a complication.RESULTS:
PFUI was initially managed with primary realignment (57%) or SPT alone (43%). Ultimately, all patients underwent a primary perineal urethral anastomosis after a median of 7 months (IQR 5-14). Overall, 27 patients (23%) had 1 or more long-term complications after a median 25 months (IQR7-66), including urethral stricture, de novo erectile dysfunction, and urinary incontinence. On multivariable analysis, initial PFUI management did not predict for complications.CONCLUSION:
No difference was found in long-term outcomes after urethral reconstruction when comparing initial PFUI management of primary realignment vs SPT insertion.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pelvic Bones
/
Urethral Stricture
/
Fractures, Bone
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Urology
Year:
2022
Document type:
Article