ABSTRACT
@#ObjectiveTo discuss new treatment of posterior urethral disruption complicated pelvic fracture.To discuss new treatment of posterior urethral disruption complicated pelvic fracture.MethodsIn 15 cases of posterior urethral disruption complicated pelvic fracture,3～4 weeks after realignment of the urethra with traction,3 silicone catheters 8～10F in diameter and 1 ureteral catheter 4F were laid in the urethra for 3 months.ResultsThe cured rate and the improved rate were 60%(9/15) and 33.3%(5/15) respectively.ConclusionThe stated approach for the treatment of posterior urethral disruption was safe,simple and highly effective.
ABSTRACT
Objective To study the histopathological features of injured urethra managed by urethral realignment or suprapublic cystotomy and to sum up the experience on its treatment. Methods Urethral realignment or suprapublic cystotomy were carried out for 20 dogs as the instant management;tissue specimens from the two groups were studied using hematoxylin and eosin stain,immunohistochemistry and electron microscopy and the result has been studied. Results Regeneration of urethra was demonstrated in the urethral realignment group at 8 weeks after urethral injured whereas regeneration has been in the suprapublic cystotomy group.The average length of urethral emphraxis was 3.8 cm in the suprapublic cystotomy group whereas that of urethral stricture only 2.5cm in the urethral realignment group at 32 week. Conclusions Urethral realignment might be the treatment of choice for the instant managerment of urethral disruption as compared with suprapublic cystotomy.