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KMID : 0378120030300010115
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Chungnam Medical Journal
2003 Volume.30 No. 1 p.115 ~ p.119
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Clinical Study of Endoscopically Guided Primary Urethral Realignment as a Treatment of Anterior Urethral Rupture.
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Lim Jae-Sung
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Abstract
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Straddle injuries to the anterior urethra should always be managed by urinary diversion and delayed repair because the crush injury makes delineation of the healthy margin difficult. The trend towards primary urethral realignment may prevent the need for definitive urethroplasty in a these patients. Between May 2001 and Mar. 2003 among 7 patients with trauma of anterior urethra were treated by endoscopically guided primary urethra1 realignment. Of the 5 incomplete ruptures, 4 had excellent results without stricture from 3 months to 2 years. Then 1 had focal urethral stricture, which could be easily treated with visual internal urethrotomy. Of the 2 complete ruptures, focal urethral stricture, which could be easily treated with visual internal urethrotomy. Complications including acute pyelonephritis and urinary tract infection were seen in one patients respectively. Endoscopically guided primary urethral realignment offers more simple and effective than delayed repair.
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KEYWORD
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Anterior urethral rupture, Primary urethral realignment, Endoscopy
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