Six cases of complete urethral rupture treated by primary endoscopic urethral realignment / 대한비뇨기과학회지

ABSTRACT

Between March 1990 and April 1991. 6 patients presented with complete urethral rupture were treated by primary endoscopic urethral realignment The results were obtained as follows 1. The ruptured sites were bulbous urethra in 3 cases. 2. The urethral Foley catheter was left indwelling for 25 to 132 days. (average 66.3 days) 3. After removal of urethral Foley catheter, maximal flow rate was 32.6mI,sec. 4. The complications were impotence in l case and urethral stricture in 4 cases. The first attack of postoperative urethral stricture developed at average 9.9 days. The average length of urethral stricture was 4.5mm and average maximal flow rate was 11.2mI,sec. Urethral stricture was well managed by visual urethrotomy. After visual urethrotomy, maximal flow rate was 25.lml,sec. Therefore, we conclude that primary endoscopic urethral realignment was considered to be safe, simple and effective operative procedure for the treatment of complete urethral rupture.