@article{ref1,
title="Patterns of urethral injury and immediate management",
journal="Current opinion in urology",
year="2007",
author="Kommu, Sashi S. and Illahi, Ihsan and Mumtaz, Faiz",
volume="17",
number="6",
pages="383-389",
abstract="PURPOSE OF REVIEW: The management of urethral trauma remains controversial. The purpose of this review is to provide a concise account of the patterns of urethral injury and the current trends of its immediate management. RECENT FINDINGS: Recent studies have identified types of pelvic fractures associated with a higher risk of urethral injury. Recognition of these fractures coupled with timely radiographic imaging has facilitated the earlier diagnosis of urethral injury and ensured that serious long-term sequelae are minimized. In highly selected cases of complete anterior and posterior urethral disruption primary realignment by a combined antegrade and retrograde endoscopic approach is increasingly being considered as a management option to restore early urethral continuity. Urethral trauma secondary to penetrating gunshot wounds and penile fracture requires immediate surgical exploration and repair. SUMMARY: The urologist involved in the management of genitourinary tract trauma needs to recognize the patterns of urethral injury, especially those associated with certain pelvic fractures. A judicious and systematic approach coupled with a conscious effort to minimize short and long-term sequelae of all urethral injuries will ensure optimal results. There is a need for a consensus on the optimal management of each of the vast arrays of urethral injuries.<p /><p>Language: en</p>",
language="en",
issn="0963-0643",
doi="10.1097/MOU.0b013e3282f0d5fd",
url="http://dx.doi.org/10.1097/MOU.0b013e3282f0d5fd"
}