Primary urethral realignment of complete rupture posterior urethra associated with fracture pelvis

Eight male patients with complete rupture urethra, due to fracture pelvis, were managed by primary urethral realignment in 6 cases, and suprapubic cystostomy and delayed repair in 2 cases. It was found that in realignment group stricture formation is minimized, while in cystostomy only obliterative stricture is the end result. Advantages, limitations, and indications of each line were reviewed

Effect of permanent ligation of internal iliac arteries during radical cystectomy

On ligation of both hypogastric arteries permanently without division at their take off, during radical cystectomy, there is a significant decrease of intraoperative blood loss. In addition, it is a safe, simple, time saving procedure, and it increases visibility in the operative field. Side effects regarding ischemia are not observed clinically, or on gluteal electromyographic study. This can be explained by the extensive collateral circulation in the pelvis. Future application of the same principle during laparoscopic cystectomy via hemoclips is considered