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KMID : 0358319930340010130
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Korean Journal of Urology
1993 Volume.34 No. 1 p.130 ~ p.137
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Clinical Significance of Corporeal Body Separation and Inferior Pubectomy in Complex Posterior Urethral Strictures
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Abstract
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A total of fifty three patients with posterior urethral strictures followed by pelvic bone fracture were managed by one-stage perineal repair at Pusan National University from Jan. 1985. to Jun. 1992. End-to-end anastomosis was performed in all
cases,
but other procedures were added to accomplish tension-free anastomosis in 34 cases. These techniques. which included distal urethral mobilization, corporeal body separation and inferior pubectomy were performed in a progressive manner as needed.
Excellent results were achieved and success rate was 97.8% of all cases. And we evaluate complications after such progressive maneuvers and the relationship between type of posterior urethral injury based on urethrography, the types of surgical
procedure and the types of pelvic bone fractures. Additional procedure were attributed to severe initial type IV urethral injury, unstable pelvic bone fractue and complex urethral stricture. In spite of performing additional procedures. the
incidence of
impotence, restrictue and incontinence made no differences. Therefore, separation of corporeal bodies and inferior pubectomy are safe and efficient method to treat nearly almost cases of urethral strictures including complex urethral strictures.
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