Preliminary Experience of Nontransecting Urethroplasty for Pelvic Fracture-related Urethral Injury

To evaluate the urinary outcomes and preservation of erectile function in patients with pelvic fracture-related urethral injury (PFUI) after nontransecting spongiosum anastomotic urethroplasty (NTSAU). Fifty-nine male patients with PFUI following traumatic pelvic fracture underwent NTSAU. Inclusion...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2017-11, Vol.109, p.178-183
Main Authors: Xie, Hong, Li, Chao, Xu, Yue-Min, Feng, Chao, Lv, Xiang-Guo, Chen, Lei, Li, Hong-Bin, Xue, Jing-Dong
Format: Article
Language:English
Subjects:
Adult
Fractures, Bone - complications
Humans
Male
Middle Aged
Pelvic Bones - injuries
Penile Erection
Treatment Outcome
Urethra - injuries
Urethra - surgery
Urination
Urologic Surgical Procedures, Male - methods
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Summary:To evaluate the urinary outcomes and preservation of erectile function in patients with pelvic fracture-related urethral injury (PFUI) after nontransecting spongiosum anastomotic urethroplasty (NTSAU). Fifty-nine male patients with PFUI following traumatic pelvic fracture underwent NTSAU. Inclusion criteria were age 18-60 years, posterior urethral stenosis 2.5 cm), preoperative impotency, or age over 60 years. Pre- and postoperative outcome analyses were performed with a paired t test and chi-square test. Between January 2011 and August 2015, 59 patients with a mean age of 38.5 years (range, 21-59 years) and a mean stricture length of 2.0 cm (range, 1-2.5 cm) underwent simple NTSAU (group 1, n = 41) or NTSAU with inferior pubectomy (group 2, n = 18). Patients were followed for a mean 25 months (range, 12-60 months). The primary success rate was 96.6% (57 of 59), and stricture recurrence occurred in 2 (3.4%) patients. The secondary outcomes revealed no significant changes in number of events, tip rigidity, or duration of best episode between pre- and postoperative nocturnal penile tumescence test (on RigiScan) in group 1, but a slight decrease in group 2 (P 
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2017.07.013