[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra

Objective: To report our experience and the feasibility of end-to-end anastomotic urethroplasty, as this is an excellent technique for the management of post-traumatic urethral stricture. Methods: We present an end-to-end anastomotic urethroplasty in a 17-year-old patient who had abdominopelvic poly...

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Autores principales:	Amine Saouli, Tarik Karmouni, Khalid Elkhader, Abdellatif Koutani, Ahmed Ibn Attya Andalousi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/6254d3b6c3d546f8818612e0ac7cf33a
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spelling	oai:doaj.org-article:6254d3b6c3d546f8818612e0ac7cf33a2021-12-02T08:15:16Z[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra2090-598X10.1016/j.aju.2018.10.020https://doaj.org/article/6254d3b6c3d546f8818612e0ac7cf33a2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301141https://doaj.org/toc/2090-598XObjective: To report our experience and the feasibility of end-to-end anastomotic urethroplasty, as this is an excellent technique for the management of post-traumatic urethral stricture. Methods: We present an end-to-end anastomotic urethroplasty in a 17-year-old patient who had abdominopelvic polytrauma at the point of impact. Upon review, the lesional balance revealed a splenic rupture with haemoperitoneum and complete rupture of the membranous urethra, clearly visible on anterograde and retrograde opacification, and fractures of the pubis and the orthopedically treated ischium. The patient underwent an urgent splenectomy for haemostasis with suturing of a grievous wound. After a period of 3 months urethroplasty was performed. Results: Two tips to gain sufficient length of the urethra: the mobilisation of the anterior urethra and the separation of corpora cavernosa in the median line. Two solutions are possible to better individualise the upstream end: the use of a soft fibroscope light or the Beniquet, as in our patient. The urethral anastomosis was performed mucosa against mucosa, the bladder catheter was removed 1-month postoperatively, with a follow-up of 5 years without recurrence. Conclusion: End-to-end anastomotic urethroplasty is a reliable technique for the treatment of post-traumatic urethral stricture.Amine SaouliTarik KarmouniKhalid ElkhaderAbdellatif KoutaniAhmed Ibn Attya AndalousiTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S32- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Amine Saouli Tarik Karmouni Khalid Elkhader Abdellatif Koutani Ahmed Ibn Attya Andalousi [67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
description	Objective: To report our experience and the feasibility of end-to-end anastomotic urethroplasty, as this is an excellent technique for the management of post-traumatic urethral stricture. Methods: We present an end-to-end anastomotic urethroplasty in a 17-year-old patient who had abdominopelvic polytrauma at the point of impact. Upon review, the lesional balance revealed a splenic rupture with haemoperitoneum and complete rupture of the membranous urethra, clearly visible on anterograde and retrograde opacification, and fractures of the pubis and the orthopedically treated ischium. The patient underwent an urgent splenectomy for haemostasis with suturing of a grievous wound. After a period of 3 months urethroplasty was performed. Results: Two tips to gain sufficient length of the urethra: the mobilisation of the anterior urethra and the separation of corpora cavernosa in the median line. Two solutions are possible to better individualise the upstream end: the use of a soft fibroscope light or the Beniquet, as in our patient. The urethral anastomosis was performed mucosa against mucosa, the bladder catheter was removed 1-month postoperatively, with a follow-up of 5 years without recurrence. Conclusion: End-to-end anastomotic urethroplasty is a reliable technique for the treatment of post-traumatic urethral stricture.
format	article
author	Amine Saouli Tarik Karmouni Khalid Elkhader Abdellatif Koutani Ahmed Ibn Attya Andalousi
author_facet	Amine Saouli Tarik Karmouni Khalid Elkhader Abdellatif Koutani Ahmed Ibn Attya Andalousi
author_sort	Amine Saouli
title	[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
title_short	[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
title_full	[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
title_fullStr	[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
title_full_unstemmed	[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
title_sort	[67] end-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/6254d3b6c3d546f8818612e0ac7cf33a
work_keys_str_mv	AT aminesaouli 67endtoendanastomoticurethroplastyforposttraumaticcompleteruptureofthemembranousurethra AT tarikkarmouni 67endtoendanastomoticurethroplastyforposttraumaticcompleteruptureofthemembranousurethra AT khalidelkhader 67endtoendanastomoticurethroplastyforposttraumaticcompleteruptureofthemembranousurethra AT abdellatifkoutani 67endtoendanastomoticurethroplastyforposttraumaticcompleteruptureofthemembranousurethra AT ahmedibnattyaandalousi 67endtoendanastomoticurethroplastyforposttraumaticcompleteruptureofthemembranousurethra
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[67] End-to-end anastomotic urethroplasty for post-traumatic complete rupture of the membranous urethra

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