Primary endoscopic realignment following posterior urethral disruption.

  title={Primary endoscopic realignment following posterior urethral disruption.},
  author={Jeffrey Kirk Cohen and Geoffrey Berg and Guatafeon Carl and David Diamond},
  journal={The Journal of urology},
  volume={146 6},
We describe 5 cases in which complete posterior urethral disruption associated with pelvic fracture was managed by primary endoscopic realignment 7 to 19 days after injury. Realignment was accomplished using a flexible endoscope through the suprapubic tract and a rigid or flexible cystoscope in the distal urethra. A guide wire was passed from the suprapubic tract through the disrupted membranous urethra and out the distal urethra. A Councill catheter was left indwelling for 5 to 10 weeks. After… CONTINUE READING

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